Increased Precautions We're Taking in Response to the Coronavirus
As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Carolina House Eating Disorder Treatment Center to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at Carolina House Eating Disorder Treatment Center.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • We are offering visitation through telehealth services so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services are being vetted and may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit https://www.cdc.gov/coronavirus/2019-ncov/index.html

Confidential Eating Disorder Intake Assessment

Carolina House Intake Assessment

Thank you for your interest in our program!

By filling out the form below you are allowing us to begin a streamlined admissions process designed to best serve you. This form is secure, and the content you submit will be kept confidential. Please note that by submitting this information, you are providing consent for someone from our admissions department to contact you. 

In order for us to know you better and create the most appropriate treatment recommendations, please fill out this questionnaire completely.



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Primary Support/Emergency Contact Information:


























For the following section(s), please indicate your behaviors for the lat 30 days or, if you're currently in treatment, your behaviors prior to entering treatment.




For the following section(s), please indicate your behaviors for the lat 30 days or, if you're currently in treatment, your behaviors prior to entering treatment.






For the following section(s), please indicate your behaviors for the lat 30 days or, if you're currently in treatment, your behaviors prior to entering treatment.




For the following section(s), please indicate your behaviors for the lat 30 days or, if you're currently in treatment, your behaviors prior to entering treatment.







Please detail below your intake for the last 24 hours, including time, food, fluids, & any behaviors:









Treatment History
Please list all current and past treatment history below (including type, dates, provider/facility name, and level of care – outpatient/inpatient/hospitalizations):















Safety and Risks:









*Please note Carolina House Intake Department is not available 24/7 for support, if you are unable to maintain safety please contact 911 and seek immediate help at your nearest emergency room.*















Cocaine, Adderall, etc.










 Alcohol, etc.










Marijuana, etc.










Heroin, Vicodin, etc.








LSD, etc.










Cigarettes, vape, chewing tobcco, etc.




















***Please note that Carolina House is a non-smoking facility***








Medical History




Please note: Some medications may be altered or withdrawn after your meeting with our Medical Team.















Please note: Some medications may be altered or withdrawn after your meeting with our Medical Team.











Think you might have an eating disorder?

Take our free online assessment.


From my first call inquiring about getting help I found the staff at Carolina House to be super helpful, informative, and understanding.

– a former resident