Patient Forms

If you are a new patient, please review and fill out the following forms and email them to or arrive 20 minutes early to your first appointment to allow time to fill out the forms in the office. 


IMPORTANT: Please fill out individual medical releases for your primary care physician, therapist, dietitian, psychiatrist, and treatment center, along with any family members you would like to receive information regarding your care. We look forward to seeing you!

Patient Information

Parent Information

Payment Policies

Medical Release

For questions or scheduling an appointment, please call or email us below!


© 2016 by Medical Center for Eating Disorders

701 N. Post Oak Road

Suite 220

Houston, TX 77024


Tel: 713-956-4083

Fax: 832-916-2033

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