Residential Eating Disorder Treatment Facility Application

Streamline Admissions for Your Residential Eating Disorder Treatment Facility

Finding the right residential treatment program is a critical step in eating disorder recovery, and the application process needs to be both thorough and compassionate. This Residential Eating Disorder Treatment Facility Application template is designed specifically for behavioral health providers, treatment centers, and residential care facilities that specialize in eating disorder recovery.

Why This Template Works for Treatment Facilities

For treatment centers and residential programs, gathering comprehensive medical, psychological, and consent information is essential for determining appropriate care levels and ensuring resident safety. This template captures everything you need in a structured, HIPAA-aware format that respects the sensitivity of eating disorder treatment while ensuring medical stability requirements are met.

The form includes dedicated sections for medical history, current symptoms, BMI monitoring consent, meal plan supervision acceptance, emergency contacts, and insurance verification—all the information your clinical team needs to make informed admission decisions and provide appropriate care planning.

Perfect for Healthcare Providers and Behavioral Health Organizations

Whether you're running a residential treatment center, an intensive outpatient program, or a specialized eating disorder recovery facility, this template helps you:

• Assess medical stability and appropriateness for residential care levels
• Collect comprehensive health history including eating disorder diagnosis, previous treatment, and co-occurring conditions
• Obtain informed consent for BMI monitoring, vital sign tracking, and supervised meal participation
• Gather emergency contact and insurance information for seamless admission processing
• Screen for medical contraindications that may require higher levels of care

The form is designed with conditional logic to reveal relevant follow-up questions based on responses, ensuring you collect detailed information only when needed while keeping the experience streamlined for applicants.

Designed for Compassionate, Compliant Care

Eating disorder treatment requires a delicate balance of clinical rigor and empathetic care. This template uses clear, supportive language that acknowledges the courage it takes to seek treatment while gathering the medical and consent documentation your facility needs to provide safe, effective care.

Because Paperform is SOC 2 Type II compliant and includes robust security features, you can confidently collect sensitive health information while maintaining the privacy standards your residents and regulatory bodies expect. Please note that while Paperform provides enterprise-grade security, it is not HIPAA compliant, so additional safeguards may be needed for protected health information.

Automate Your Admissions Workflow with Stepper

Once an application is submitted, the real work begins—reviewing medical records, coordinating insurance verification, scheduling intake assessments, and communicating with applicants and their families. With Stepper, you can automate your entire admissions workflow:

• Route applications to clinical directors for medical stability review
• Trigger insurance verification processes automatically
• Send personalized follow-up emails requesting additional documentation
• Create tasks for intake coordinators to schedule assessments
• Update your CRM or patient management system with new applicant information
• Notify treatment teams when new residents are approved

This means your admissions team spends less time on administrative coordination and more time providing the personal support that families need during this vulnerable time.

Built for Mental Health and Behavioral Health Providers

This template is ideal for:

• Residential eating disorder treatment centers offering inpatient or residential levels of care
• Behavioral health organizations with specialized eating disorder programs
• Mental health clinics expanding into intensive outpatient or partial hospitalization programs
• Recovery centers focused on anorexia, bulimia, binge eating disorder, and ARFID
• Adolescent and adult treatment facilities serving different age populations

The form can be easily customized to reflect your facility's specific programs, treatment philosophy, insurance partnerships, and admission criteria—all within Paperform's intuitive editor.

Professional, On-Brand Forms That Convert

First impressions matter, especially when someone is taking the courageous step of seeking treatment. With Paperform's design flexibility, you can create an application form that reflects your facility's compassionate, professional brand—using your colors, fonts, and imagery to create a welcoming experience that builds trust from the first interaction.

Whether you embed the form directly on your website or use it as a standalone landing page, you'll create a seamless experience that removes barriers to care and makes the application process as supportive as possible.

Get Started Today

This template includes everything you need to begin accepting residential treatment applications immediately. Simply customize the questions to match your facility's specific requirements, connect your email notifications and integrations, and start receiving applications from individuals ready to begin their recovery journey.

With Paperform, you get a powerful, secure platform trusted by healthcare providers worldwide—combined with the flexibility to create forms that truly serve your mission of supporting eating disorder recovery.