For Providers
I work with the pediatric population and specialize in the following health concerns:
-Growth and Weight Concerns
-Feeding and Mealtime Challenges
-Infant Feeding & Introduction to Solids
-Food Allergies and Intolerances
-Gastrointestinal Health
-Medical and Metabolic Nutrition
-Disordered Eating & Body Image
-Special Diets and Lifestyle Nutrition
-Developmental and Special Health Needs
-Sports & Performance Nutrition
Shae Foudy LLC provides individualized pediatric medical nutrition therapy to Hawai‘i families via secure Telehealth. Collaborating with referring providers ensures continuity of care and supports improved health outcomes for our shared patients.
Refer a Patient
I am an in-network provider with following insurance plans:




Self-Pay Options are also available through Shae Foudy LLC.
Patients without insurance coverage or with out-of-network plans are welcome to schedule using self-pay rates:
Initial Assessment (up to 90 minutes): $150 and Follow-Up Assessments (up to 60 minutes): $100
How to Refer
Please Download and Complete the Pediatric Nutrition Referral Form
Please include the medical diagnosis and corresponding ICD-10 code(s) documented in the patient's medical record whenever applicable.
Because nutrition benefits vary by insurance plan and diagnosis, a referral alone does not guarantee insurance coverage. Providing complete diagnostic and clinical information helps our office appropriately review insurance benefits before the family schedules care.
*If your patient has HMSA, covered diagnoses for medical nutrition therapy only include certain conditions, some requiring pre-certification. View HMSA’s policy of covered diagnoses here.
*If your patient has HMSA Quest, it will only be covered unless prescribed by a licensed physician and determined to be medically necessary.
Helpful Records to Include
When clinically relevant, please include:
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Most recent office or specialist note
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Current diagnosis list and ICD-10 codes
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Growth charts and recent anthropometric measurements
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Relevant laboratory results
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Current medication and supplement list
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Food allergy information
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Formula, enteral nutrition, or feeding regimen
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Feeding, swallowing, GI, allergy, or therapy evaluations when applicable
What Happens After You Refer?
Once the referral and supporting documentation are received, our office will review the patient's information and applicable insurance requirements.
The family will then be contacted with next steps for insurance verification and scheduling.
Nutrition recommendations and relevant updates can be coordinated with the referring healthcare team when appropriate to support continuity of care.
Questions about a referral?
Shae Foudy, MS, RDN, LD
The Pediatric RD | Shae Foudy LLC
949-300-9775
www.shaefoudy.com
