Eating Disorder Therapy Intake Form

Comprehensive Eating Disorder Therapy Intake Form

Starting therapy for an eating disorder takes courage, and having the right intake process matters. This eating disorder therapy intake form template is designed specifically for mental health professionals, counselors, and therapists who specialize in disordered eating, helping you gather the sensitive information needed to provide compassionate, effective care from the very first session.

Why specialized intake forms matter in eating disorder treatment

Eating disorders are complex conditions that require a nuanced understanding of each client's relationship with food, body image, medical history, and psychological patterns. A general therapy intake form simply won't capture the specific details you need to assess risk, understand triggers, and create an individualized treatment plan.

This template is built for therapists, counselors, psychologists, and mental health clinics working with clients experiencing anorexia nervosa, bulimia nervosa, binge eating disorder, ARFID, OSFED, and other eating and feeding disorders. It helps you collect comprehensive information about eating behaviors, body image concerns, medical complications, nutritional habits, exercise patterns, and co-occurring mental health conditions—all in a structured, trauma-informed way.

What makes this eating disorder intake form effective

Comprehensive assessment areas: The form covers all the essential domains you need to understand: current eating behaviors and patterns, food relationship history, body image and weight concerns, medical complications and symptoms, nutritional habits and restrictions, exercise behaviors, mental health history, support systems, and treatment goals.

Trauma-informed and compassionate language: Questions are framed with sensitivity and respect, acknowledging the courage it takes to seek help. The form uses person-first language and avoids potentially triggering terminology while still gathering clinically necessary information.

Risk assessment built in: The template includes questions about medical complications, suicidal ideation, self-harm behaviors, and other risk factors that require immediate attention, helping you prioritize safety and determine the appropriate level of care.

Customizable for your practice: Whether you run a private practice, work in a clinic, or manage a treatment center, this Paperform template can be easily adapted to match your intake protocols, branding, and clinical requirements. Add your logo, adjust the color scheme, and modify questions to align with your therapeutic approach.

How therapists and mental health professionals use this template

Private practice therapists use this form to streamline their intake process, allowing clients to complete detailed information before the first session so you can spend your time together building rapport and beginning treatment rather than gathering basic information.

Mental health clinics and treatment centers deploy this form as part of a comprehensive intake workflow, often using Paperform's conditional logic to route clients to appropriate levels of care based on their responses and risk factors.

Dietitians and nutritional therapists working alongside mental health professionals use adapted versions of this form to understand the nutritional and psychological aspects of their clients' relationships with food.

Telehealth providers particularly benefit from digital intake forms that clients can complete securely from home, with responses automatically organized for easy review before virtual sessions.

Streamline your workflow with Paperform and automation

This eating disorder therapy intake form is built on Paperform, giving you a professional, HIPAA-compliant alternative for collecting sensitive health information (note: Paperform itself is not HIPAA compliant, but offers enterprise-grade security features suitable for many clinical settings—please verify compliance requirements for your jurisdiction).

The form includes conditional logic that shows or hides questions based on previous answers, making the experience less overwhelming for clients while ensuring you gather all necessary information. For example, follow-up questions about purging behaviors only appear if a client indicates they engage in those behaviors.

Connect your forms to your practice management tools: Paperform integrates seamlessly with the tools mental health professionals already use. Send intake responses to your practice management software, create client folders in Google Drive, log appointments in your calendar, or trigger follow-up email sequences—all automatically when a client submits their form.

Take it further with Stepper: For practices managing complex intake workflows, Stepper can automate what happens after submission. Route high-risk assessments to supervisors for immediate review, create client files across multiple systems, send welcome packets with session prep materials, schedule initial consultations, and assign intake packets to your administrative team—all triggered by a single form submission.

Security and privacy your clients can trust

When collecting sensitive information about eating disorders, mental health history, and medical complications, security isn't optional—it's essential. Paperform provides SOC 2 Type II compliance, encryption at rest and in transit, and comprehensive data privacy controls to protect your clients' information.

You can customize consent language, add GDPR compliance features, restrict where data is stored geographically, and control who on your team can access submitted responses. Every form can include clear privacy policies and consent checkboxes to ensure clients understand how their information will be used and protected.

Who this template is designed for

This eating disorder therapy intake form is ideal for:

• Therapists and counselors specializing in eating disorders, body image, and related conditions
• Psychologists conducting assessments and providing evidence-based treatment for disordered eating
• Mental health clinics offering specialized eating disorder treatment programs
• Treatment centers and residential facilities managing comprehensive intake processes
• Telehealth providers serving clients remotely who need structured digital intake
• University counseling centers supporting students with eating concerns
• Dietitians and nutritionists working collaboratively with mental health professionals

Get started with a template that understands the complexity

Eating disorder treatment requires sensitivity, clinical expertise, and attention to detail from the very first interaction. This intake form template gives you a professional foundation that demonstrates your understanding of these complex conditions while gathering the information you need to provide excellent care.

With Paperform's intuitive editor, you can customize this template in minutes—no coding required. Add your practice information, adjust questions to match your theoretical orientation, include screening tools you already use, and brand the form to match your website. Then embed it directly on your site, share the link in appointment reminders, or send it as part of your intake packet.

Trusted by mental health professionals worldwide, this template helps you create a welcoming, professional intake experience that supports both your clients' healing journey and your practice's efficiency. Start with this template and spend less time on paperwork, more time on what matters—helping your clients build healthier relationships with food, their bodies, and themselves.