Refer a patient

A leader in personalized eating disorder treatment for people of all ages and genders since 1993, The Emily Program is your best choice for a patient referral if you suspect an eating disorder. Talk to one of our professionals today at 1-888-364-5977 or refer a patient through our online form so we can schedule an eating disorder assessment. We’re here to help.

When to refer a patient to The Emily Program

As with other mental and physical disorders, a healthcare professional must recognize the signs of a problem or potential problem, and then intervene effectively. If you suspect food, body image, weight, and/or eating issues, the American Academy of Family Physicians and American Psychiatric Association suggest that you act quickly.

Know the common eating disorder symptoms

Use the common symptoms list and simple screening tool below. We also offer educational events to help your team screen for eating disorders, understand their effects, and access available treatment resources.

Eating disorders present physiologically and behaviorally. The multidisciplinary team at The Emily Program recommends checking for common symptoms, such as:

  • Dramatic weight gain or loss
  • Verbal preoccupation with food, weight, and shape
  • Medical complications, such as amenorrhea, bradycardia, unexpected osteopenia or osteoporosis, electrolyte abnormalities, low body temperature, orthostatic hypotension
  • Rapid or persistent decline or increase in food intake
  • Purging; restricting; binge eating; compulsive eating; compulsive exercising; abuse of diet pills, laxatives, diuretics, or emetics
  • Denial of food and eating problems, despite concerns of others
  • Eating in secret, hiding food, disrupting family meals, feeling out of control with food

Start the conversation

Ask if it is okay to discuss eating habits: “I’m concerned about your eating (or weight, body image, etc.). May we discuss how you typically eat and your relationship with food?”

Then ask your patient these 6 questions:

  1. Do you feel like you sometimes lose or have lost control over how you eat?
  2. Do you ever make yourself sick because you feel uncomfortably full?
  3. Do you believe yourself to be fat, even when others say you are too thin?
  4. Do food or thoughts about food dominate your life?
  5. Do thoughts about changing your body and/or your weight dominate your life?
  6. Have others become worried about your weight and/or eating?

Two or more “yes” answers strongly indicate the presence of disordered eating. (Adapted from SCOFF Questionnaire by Morgan, Reid & Lacy-BMJ, 1999.)

Direct admission

To ensure your patient can get treatment as soon as possible, The Emily Program offers a direct admission process to assess clients over the phone if they don’t live within driving distance of one of our sites, or if they are transitioning directly from another treatment facility.

After that initial phone call, your patient will be connected with our Clinical Admissions Specialist, who will conduct the phone intake, determine level of care, schedule an admit date and start the process to secure medical data and arrange any necessary lodging.

Stay involved

To stay informed of your patient’s progress throughout their eating disorder treatment, ask them to complete a Release of Information form so we have permission share health information with you.

Talk with the experts at The Emily Program

The Emily Program staff is available to assist. Call us at 1-888-364-5977, use our online referral form, or send your patient to our website to request an eating disorder assessment.

Refer a patient

Complete the information below or call us at 1-888-364-5977. We’ll contact your patient within one business day to learn more about his or her condition. We’ll keep you updated on our progress, too.

Your contact information

First Name*

Last Name*

Provider Type*
MDDietitianTherapistOther

If other

Email Address*

Phone*

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Patient information

Patient's First Name*

Patient's Last Name*

Patient's Date of Birth

Patient’s Phone Number (if age 18 or older)

If under age 18, please provide a primary parent contact:

Parent's First Name

Parent's Last Name

Parent’s Phone Number

Is it okay to leave a message?*
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Where are you located?

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Please share symptoms or concerns for us to note*:

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Recovery is possible

If an eating disorder and/or related issues are diagnosed, we will work with you and your patient to develop a personalized treatment and recovery plan. We treat the whole person with a wide range of comprehensive, personalized treatments using diverse modalities.

Our team is passionate about helping individuals struggling with eating disorders. Together, we can bring your patient hope and healing. Please contact our Admissions team at 1-888-364-5977 with questions or fax your referral to (651) 379-6105.

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