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 FORM
  • This form is ONLY for patients who are working with one of our dietitians for disordered eating.



PEDIATRICS FORM
  • Our pediatrics form is intended for those that have been referred for ARFID or any reason other than an eating disorder.
NEW PATIENT FORM
  • All patients except disordered eating patients are required to fill out this form prior to their appointment.


MEDICAL
RELEASE
  • 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 and bariatric surgical patients.
FOOD
JOURNAL
  • Please note that at this time you will need to print the food journal and bring it with you to the appointment. If you prefer to keep a journal on your phone you can use "My Fitness Pal" or "Lose It" to record your intake.

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

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