When a patient with an eating disorder goes missing from your treatment facility, every minute counts. This Missing Patient Report template is designed specifically for eating disorder treatment centers to quickly document and communicate critical medical information to emergency services, family members, and your treatment team.

Why this template matters for eating disorder treatment centers

Patients receiving treatment for eating disorders may face serious medical complications including cardiac instability, electrolyte imbalances, and other life-threatening conditions. When a patient leaves treatment against medical advice or goes missing, having a standardized reporting system ensures that all critical health information is captured and shared appropriately with law enforcement and emergency responders.

This form template helps your facility:

• Document medical stability status including current weight, vital signs, and cardiac risk factors
• Capture critical health information that emergency responders need to know
• Maintain treatment team contact details for coordinated response
• Record circumstances of departure to aid in search efforts
• Ensure HIPAA-compliant documentation of the incident
• Trigger appropriate emergency protocols based on risk level

Perfect for behavioral health and treatment facilities

This template is ideal for:

• Residential eating disorder treatment centers
• Inpatient psychiatric facilities with eating disorder programs
• Partial hospitalization programs (PHP)
• Intensive outpatient programs (IOP) with vulnerable patients
• Mental health treatment centers
• Behavioral health facilities

Streamline your emergency response with Paperform

With Paperform's conditional logic, you can route different emergency protocols based on medical risk level. Stepper can automatically notify your treatment team, send alerts to emergency contacts, and trigger your facility's crisis response protocols—ensuring no critical step is missed during a high-stress situation.

Whether you're a clinical director, nurse manager, or facility administrator, this template provides the structure you need to respond quickly and thoroughly when a patient goes missing. Stay organized, compliant, and prepared for the critical moments that matter most.