Veritas Intake Form

This form provides us with the basic information we need about you or your loved one to begin treatment discussions.

This form includes basic demographic questions in addition to questions about you or your loved one’s eating disorder and your insurance information. If you prefer, we can also complete this over the phone. Please call (855) 875-5812 to schedule an appointment if you do not wish to complete it online.

Recovery Starts Here

If you have questions about anything – eating disorders, our programs, insurance, or any other needs or concerns – or would like to schedule an initial phone assessment, please give us a call or complete our contact form. Our admissions team is here to help.

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