Eating Disorder Assessment Form
About this free form template

Eating disorders are complex mental health conditions that require thorough, compassionate assessment. This eating disorder assessment form is designed for mental health professionals, dietitians, therapists, and specialty care providers who need to conduct comprehensive evaluations of patients presenting with concerns about disordered eating, body image, or related medical complications.

The form covers all essential areas of eating disorder assessment: detailed nutritional history and eating patterns, validated body image questionnaires, screening for medical complications, psychological symptoms, and social/environmental factors. By collecting this information upfront, clinicians can better understand the severity of symptoms, identify urgent medical concerns, and develop appropriate treatment plans.

Paperform makes specialty assessments like this more effective by allowing you to use conditional logic to show relevant follow-up questions based on patient responses, ensuring a personalized yet thorough evaluation. The clean, professional design reduces assessment anxiety, while secure data collection meets the privacy standards mental health practices require.

Once a patient submits their assessment, you can use Stepper (stepper.io) to automatically route urgent cases to your clinical team, send preliminary reports to treating physicians, or trigger appropriate follow-up workflows based on risk level. For practices that require signed consent before treatment, Papersign (papersign.com) lets you seamlessly send treatment consent forms for eSignature immediately after the assessment is completed.

This template is ideal for eating disorder clinics, mental health practices, dietitians specializing in disordered eating, college counseling centers, and integrated care teams supporting patients through recovery.

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