Refer Your Patient to a Higher Level of Care

Thank you for considering Thrive Wellness as a trusted partner in providing your patient with a higher level of care for eating disorder treatment.


Please complete the following admissions form to refer your patient. The information you submit is secure and confidential and is intended to provide our admissions team with adequate information to begin the intake process. A member of our team will be in touch with you to confirm receipt of referral and to collect any additional information needed to obtain a comprehensive understanding of your patient’s condition as well as to begin the process of recommending a course of care and developing an individualized treatment plan.


We look forward to working with you and helping your patient achieve lasting recovery.

Quick Admission Form

Patient Information



Guardian Information



Insurance Information



Treatment Team Information



Provider Assessment



Submitting Provider Information


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