Client Application

for Treatment Assistance

  • EDRS Treatment Fund Application

    Applicant Form *EDRS provides treatment assistance to CA residents only*
  • Healthcare Provider

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

    • $1000 for treatment -- for individual or group sessions • To be awarded to anyone in recovery from an eating disorder

    The Rainbow Fund: Supporting LGBTQ+ Communities

    • $1000 for treatment -- for individual or group sessions • 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

    • $1000 for treatment -- for individual or group sessions • To be awarded to a BIPOC individual in eating disorder recovery

     

    For All Funds:

    ~ Practitioners must agree to a sliding scale of $100.00 for ten (10) 45-60 min outpatient individual sessions or twenty (20) outpatient group sessions at $50.00 per group.

    ~ The provider form can be found on edrecoverysupport.org and must be completed in order for the funds to be approved.

    ~ Note, these funds can be used for a combination of group and individual sessions as well as split between providers. If it is split, each provider will need to fill out a separate provider application.

     
  • 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 submitted online or mailed to the following address:

      EDRS TREATMENT FUND

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

    • By entering your Full Name below, you confirm that the above information is true and correct to the best of your knowledge.
    • MM slash DD slash YYYY

    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