Client Application

for Treatment Assistance

  • EDRS Treatment Fund Application

    Applicant Form *EDRS provides treatment assistance to CA residents only*
    Please see application directions below to help you understand the process.
  • How to apply for treatment assistance, if you have a provider:

    Both clinician and client are to complete an application form. You will receive an email confirmation that we received your application. You will be notified within 2-3 weeks about the board’s decision and any next steps. You will be notified via email. Please make sure to add financial documentation of income to be considered.
  • How to apply for treatment assistance, if you DO NOT have a provider:

    The client to fill out a treatment assistance application. The client will receive an email confirmation that we received your application. The client to find an eating disorder practitioner and initiate setting up an initial appointment. You may find potential referrals here: https://edrecoverysupport.org/providers. If the client needs EDRS' assistance in connecting with a provider, this might take up to several months. After an initial assessment, the provider is to fill out a treatment assistance application. Once both applications are received from client and clinician, treatment assistance. Applications will be reviewed and a decision will be made within 2-3 weeks. You will be notified via email. IMPORTANT: If treatment assistance is granted, funds will be allotted for sessions moving forward from the time of approval. If the practitioner is willing to allocate funds retroactively to past sessions, that is up to the provider. After your initial assessment, we recommend that you wait to schedule future sessions until you know whether or not you will receive treatment assistance (so you do not end up financially burdened).
  • Healthcare Provider

    Please enter information about your Healthcare Provider.
  • The EDRS Outpatient Treatment Fund

    • $2000 for treatment -- for individual • To be awarded to anyone in recovery from an eating disorder

    The Rainbow Fund: Supporting LGBTQ+ Communities

    • $2000 for treatment -- for individual • To be awarded to a member of the LGBTQ+ Community in eating disorder recovery

    The BIPOC Fund: Supporting Black, Indigenous, and People of Color Communities

    • $2000 for treatment -- for individual • To be awarded to a BIPOC individual in eating disorder recovery

     

    For All Funds:

    ~ Treatment funds will be given to the provider. A client application and a provider application is needed in order to apply for treatment assistance. The funds may be used at a session fee decided by the provider. Providers please note that we encourage a reduced or sliding scale fee because the lower the per session fee, the more sessions a treatment fund recipient may have. For example, at $100 per session, an individual could have 20 sessions. At $125 per session, an individual could have 16 sessions. These funds are to be used for 1:1 outpatient session

  • Drop files here or
    Max. file size: 256 MB, Max. files: 3.
    • Applicants must have a diagnosis of an eating disorder, or be seeking assessment for one. The EDRS Treatment Fund Committee will provide funds upon approval, to the Provider. The Provider is responsible for reporting back to EDRS that the funds were used, or portions were used/unused, and the progress of the treatment fund recipient. Any unused funds are agreed to be returned to the EDRS treatment fund. Applications may be mailed to the following address or emailed to the EDRS Treasurer, Theresa Kira, PsyD at theresa@edrecoverysupport.org.

      EDRS TREATMENT FUND

      Attention: Treatment Fund Committee
      911 Lakeville Street, Suite 217
      Petaluma, CA 94952
      Email: theresa@edrecoverysupport.org

      Please know that once submitted you are consenting to having your private health information be reviewed and viewed.
    • By entering your Full Name below, you confirm that the above information is true and correct to the best of your knowledge.
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    Our Mission

    The mission of EDRS, Inc. is to promote recovery and wellness for those impacted by eating disorders by providing support, information, and education to individuals, families, professionals, and the community at large regarding eating disorder recovery and resources..

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    Contact Us

    Eating Disorder Recovery Support

    c/o Liz Woodruff, PhD
    911 Lakeville Street, Suite 217
    Petaluma, CA 94952

    +1 (855) LUV-EDRS (855-588-3377)

    info@edrecoverysupport.com