UNC School of Medicine
  • UNC Chapel Hill
  • UNC Health Care
  • Popular Links
    • UNC Directory
    • Maps & Directions
    • Health Sciences Library
    • Webmail
    • IT Support
    • Make a Gift
    • Find a Doctor
    • Calendar
    • Careers
  • Log in
    • Department of Psychiatry

    UNC Center of Excellence for Eating Disorders

    Navigation
    • About
      • Our Mission
      • Our People
      • Dr. Cynthia Bulik "In the News" and elsewhere
      • Board of Visitors
      • For the Media
      • Our Symbol
    • Sobre
      • Cápsulas Informativas sobre TCA
      • Trastornos Alimenticios
      • Informacion de salud para usted
    • Patient Care
      • Admission
      • Inpatient Program
      • Partial Hospitalization Program
      • Outpatient Treatment
      • Outpatient Group treatments
      • UNC Mental Health Specialists
      • Clinical Trials
        • UCAN- Uniting Couples in the treatment of Anorexia Nervosa
    • Our Research
      • ANGI-Anorexia Nervosa Genetics Initiative
      • Anorexia Studies
        • Road to Recovery from Eating Disorders
        • UCAN- Uniting Couples in the treatment of Anorexia Nervosa
      • Binge Eating Studies
      • Bulimia Studies
        • Road to Recovery from Eating Disorders
        • CBT4BN
      • Population Studies
        • Norwegian Mother and Child Cohort Study (MoBa)
        • Risk Factors for Anorexia Nervosa in Swedish Twins
      • Studies for College Students
      • Studies for Latinas
      • Studies for Parents
      • Previous Studies
    • Training & Outreach
      • Pearls of Wisdom for Junior Investigators and Clinicians
    • Resources
      • About Eating Disorders
        • Statistics
        • Help a Friend
        • Podcast Series on Aspects of Eating Disorders
        • PBS presentation
        • Informacion de salud para usted
      • Associations and Other Organizations
      • Caring is Caring
      • Families Empowered And Supporting Treatment of Eating Disorders
      • Insurance Questions
      • Nutrition Videos
      • UNC at Chapel Hill
        • Counseling and Wellness Services
        • Embody Carolina
        • School of Public Health and Nutrition Research
    • MAKE A GIFT
    Home › Patient Care › Treatment Referral Form
    • Patient Care
    • Admission
    • Inpatient Program
    • Partial Hospitalization Program
    • Outpatient Treatment
    • Outpatient Group treatments
    • UNC Mental Health Specialists
    • Clinical Trials
    • Treatment Referral Form

    REFERRAL FORM

    UNC Center of Excellence for Eating Disorders
    Neurosciences Hospital
    101 Manning Drive
    Chapel Hill, NC 27514
    Phone: 919-966-7012
    Fax: 919-843-5601
    Mailing Address:
    CB #7160
    Chapel Hill, NC 27599

    KORU final

    click Koru symbol

    For CEED Staff (Password required)

    Treatment Referral Form

    Info

    PDF document icon UNC Eating Disorder Referral Form_fillable.pdf — PDF document, 155 kB (158940 bytes)

    BLOG

    Visit our blog "Exchanges"

    and like us on Login with Facebook

    Upcoming Events
    Dr. Cynthia Bulik speaks at the 6th Annual Healthy Eating and Living Conference May 31, 2013 08:30 AM - 04:00 PM — Asheville, NC
    Upcoming events…
    UNC Science Digest
    LIBER8 design and methods: an integrative intervention for loss of control eating among African American and White adolescent girls.
    UNC Science Digest - More…
    News
    Dr. Cynthia Bulik on her latest book, "Midlife Eating Disorders"on CBS This Morning Show Mar 12, 2013
    Another Successful NEDAwareness Week Mar 11, 2013
    Men With Eating Disorders Have Tougher Time Getting Help Mar 04, 2013
    More news…

    Directions to UNC Psychiatry

    Give to UNC Eating Disorders

    Search UNC Eating Disorders
    Advanced Search…
    UNC School of Medicine logo

    Our vision is to be the nation's leading public school of medicine.

    Find
    Find
    • Contact
    • UNC Directory
    • Maps & Directions
    • Find a Doctor
    • Careers
    About
    About
    • Site Map
    • Accessibility
    • Privacy
    • News
    • Calendar
    • Alert Carolina
    Connect
    Connect
    • YouTube
    • Twitter
    • Facebook
    • News RSS
    • IT Support
    • Make a Gift
    Partner Sites
    • UNC Health Care
    • UNC Chapel Hill
    Operators
    • University Operator:
      919-966-2211
    • Hospitals Operator:
      919-966-4131

    © 2013 University of North Carolina at Chapel Hill School of Medicine

    ↑ Top