The information from these forms pertains to your current situation, current eating problems, current medications, and various questions about your overall emotional and physical health. It is important to respond with your first thoughts and not worry about “looking good” or answering questions in a way that you think they “should” be answered. It is important that your answers reflect your real feelings, thoughts, and behaviors since the information gathered will be important in determining your initial treatment goals and response to treatment.
Confidentiality of Records
The information obtained on this follow-up questionnaire package will be kept as part of your confidential clinical record and will only be released to an outside source if you give permission for the release of your medical information.