NEW PATIENT INFORMATION

We know forms aren’t fun, so we have a digital version to make your experience with us as easy as possible. Please fill out the forms below before your first appointment, and you’ll be set!

Disordered Eating Intake Form
  • This form is ONLY for patients who are working with one of our dietitians for disordered eating.





Pediatrics Intake Form
  • Our pediatrics form is intended for those that have been referred for ARFID or any reason other than an eating disorder.



General Intake Form
  • Intake form for our adult clients being seen for any reason other than disordered eating. Disordered Eating clients and pediatric clients should not fill out this intake form.

Medical
Release Form
  • This form is for patients who want us to send their doctors and other healthcare providers updates about their visits with us. This form is required for all disordered eating patients.
GI Supplemental Form
  • Coming soon a supplemental form for individuals working with Jessica Goff on GI function and health.

For those engaging in telehealth please view and sign our telehealth form here.

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