Referral Form: Older Teen & Young Adult Eating Disorder Recovery Support Group

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Hello!

I'm thrilled one of your clients is interested in joining the Older Teen & Young Adult Support Group (for those 16-20 years of age). Please share as much or as little as you'd like below to help support me in supporting your client. If you have any questions or concerns, please email me at Corinne@CorinneDobbas.com.

Warmly,

Corinne

Client's Initials: *

Your name, email, and phone number: *

Your role on the client's treatment team: *

Is the client weight restored and/or medically stable?
*

From your perspective, where is the client in their recovery process?
*

From your perspective, would an online group environment be supportive of your client? Do they want to join?
*

Are there any concerns you have for this client, regarding joining a group?
*

Is there anything else you think would be helpful for me to know? *

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