
Why Refer
Specialized Expertise
Hormone optimization has evolved into a highly specialized field requiring deep knowledge of endocrine physiology, metabolic health, advanced diagnostics, and individualized treatment algorithms.
Our physicians focus exclusively on hormone and metabolic optimization. This specialty allows us to:
- Remain current with emerging literature and clinical guidelines
- Manage complex cases requiring nuanced hormonal adjustment
- Integrate hormone care with metabolic, cardiovascular, and thyroid physiology
- Offer multiple evidence-based treatment modalities (pellets, injections, transdermal therapies)
- Provide the level of precision and monitoring necessary for long-term safety and efficacy
This depth of expertise enhances the care you provide and supports patients whose needs extend beyond routine management.
Coordinated Care Philosophy
We operate as an extension of your practice, not a replacement.
When you refer a patient to Metriq Health:
- You remain the primary care physician
- We communicate proactively and consistently
- We coordinate treatment plans to ensure alignment with your management
- We avoid redundancy, conflicting plans, or scope overlap
- Patients return to you for all non-hormonal care and broader health management
Our goal is collaborative, patient-centered care that maintains continuity and supports your clinical objectives.
Clear, Predictable Communication
You will never be uncertain about your patient's treatment pathway. Our communication protocols include:
When to Refer Patients to Metriq Health
Below are common scenarios where referral to Metriq Health provides added value.
Menopausal & Perimenopausal
- Vasomotor symptoms impairing quality of life
- Sleep disturbances related to hormonal transition
- Cognitive or mood symptoms during perimenopause/menopause
- Patients explicitly seeking bioidentical hormone therapy
- Cases requiring individualized dosing or close monitoring
Male Hypogonadism
- Symptomatic low testosterone confirmed on evaluation
- Inadequate response to prior testosterone therapy
- Complex cases with metabolic, thyroid, or adrenal contributors
- Patients seeking pellet therapy or comprehensive TRT programs
Thyroid Optimization
- Persistent symptoms despite "normal" TSH
- Cases requiring deeper evaluation of T4/T3 conversion, antibodies, cortisol interplay
- Situations where precision thyroid management is desired
- Collaborative comanagement for complex thyroid disease with endocrinology involvement
Hormonal Imbalance & Diagnostic Complexity
- Multi-system symptoms suggestive of endocrine dysfunction
- Patients requiring comprehensive workups beyond routine screening
- Cases requiring fresh perspective after failed prior interventions
Healthspan Optimization
- Patients pursuing proactive hormonal assessment
- High-performing individuals seeking clarity on energy, cognition, and performance
- Integration of hormone optimization with metabolic and cardiovascular health
Cases We Manage Differently
We collaborate or defer when another specialty is more appropriate:
- Fertility: Managed in partnership with reproductive endocrinologists
- Active malignancy: Deferred to oncology for hormone-sensitive cancers
- Complex endocrine disorders: Co-managed with endocrinology for pituitary, adrenal, or rare endocrine pathology
How It Works
Making a Referral
Referring a patient to Metriq Health is designed to be simple and compatible with your workflow:
Option 1
Patient Self-Referral
Simply recommend that your patient contact us directly. They can schedule through our website or by phone.
Option 2
Practice-Initiated Referral
Your staff can contact our office directly to coordinate the appointment. We'll handle the logistics.
Option 3
Physician-to-Physician Discussion
For diagnostically complex or high-acuity cases, our physicians are available for direct discussion prior to referral to determine the most appropriate pathway.
What We Need
To ensure an efficient and comprehensive initial consultation, please provide (if available):
- Recent laboratory results relevant to hormonal, metabolic, or thyroid concerns
- Pertinent medical and surgical history
- Current medications and supplements
- Prior hormone therapy or endocrine treatment history
- Any specific clinical questions, concerns, or goals you would like addressed
We welcome whatever information your workflow allows; our team will take it from there.
What Happens Next
Our Commitment

Respect for Your Relationship
Your role as the patient’s primary clinician remains central. We will never:
- Assume responsibility for primary care
- Encourage a transition of general care away from your practice
- Critique prior diagnostic or treatment decisions
- Step outside our specialized scope of hormone and metabolic optimization
Our aim is to support and strengthen the care you already provide.

Quality Care
Every referred patient receives:
- Physician-led care
- Comprehensive diagnostics grounded in current endocrine and metabolic science
- Individualized treatment plans tailored to physiology and goals
- Ongoing monitoring and data-driven optimization
- A professional, respectful, patient-centered experience

Responsiveness
We respect the demands of clinical practice and prioritize efficient communication:
- Prompt scheduling for referred patients
- Timely updates and consultation summaries
- Direct access for physician-to-physician discussion
- Communication through your preferred method and cadence

