Treatment Referral Request

The following questions are designed to provide enough information for us to make informed referrals to professional eating disorder treatment providers within the U.S. This is a peer-led service, meaning our referrals are not made by clinicians or mental health professionals, and ANAD is a national organization that only operates in the United States therefore, we are unable to recommend practitioners or treatment options outside of our region.

Please allow up to 7-10 business days for a response to your request.

To learn more about our privacy policy or about how we use the information shared in this form, please see our privacy policy.

If you are not able to wait or prefer to look on your own, please see this resource with some of our favorite referral sources.

If you have questions or concerns about our referral process, please contact us at .

If you or your loved one are in crisis or feeling suicidal, please get help immediately. Contact a crisis help line at 1-800-273-TALK or 1-800-273-8255. You can also call 911 or go to an emergency room near you.

In this section, please provide information for the person who will be using the referrals. For example, if you are a parent seeking help for your child, please fill in your child's information.

If you are unsure of the level of care you may need, please leave a note in the additional information section below. We cannot determine that information on your behalf, but can point you to assessments that can help determine the appropriate level of care. Please review our "Levels of Care" page page for more information about treatment options prior to making your selections.

The following information helps us tailor our services to your needs. This information is not required.

ANAD will do their best to find the resources that fit your criteria and meet your insurance needs in your area. Please make sure to review the information and verify insurance benefits directly with the practitioners before booking any appointments.

The information provided does not take the place of your doctor’s advice, or your own decision making. We do not endorse or recommend these particular providers for your situation. We are offering this particular information, as given to us by the provider, based upon your questions and on the express understanding that you agree to the terms of this disclaimer.

By accepting the advice in this referral it is our understanding that you accept that ANAD and its staff have no liability for any acts, omissions, decisions or services attributable to this information, the facilities or treatment providers listed. Additionally, by submitting this form, you agree to accept emailed communications from ANAD.

If you or your loved one are feeling suicidal, you should get help IMMEDIATELY. Call 911, go to the emergency room or contact a crisis line (1-800-273-TALK, or 1-800-273-8255).