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Form

Child & Adolescent Preliminary Assessment

This form helps us get to know your loved one. It includes basic demographic questions in addition to more detailed questions about your loved one's eating disorder and behavioral and medical health. It can be completed by a guardian. If you’d prefer to complete this assessment over the phone, please call 919-908-9740 to schedule an appointment.

This form gives us preliminary insight into the needs of those considering our Child & Adolescent treatment program.