Thank you for completing the Carolina House Authorization to Disclose Healthcare Information. Please check your email for the digital signature email verification link. Once you click on the link, your digital signature will be accepted and you will be able to print a copy for your records.
A signed Authorization to Disclose Healthcare Information is required for each request.
- Please click here if you need to request another Authorization to Disclosure Healthcare Information.
A member of the Carolina House Admissions Team will be in contact shortly. If you have any questions in the meantime, please email the admissions team at CH-Admissions@carolinaeatingdisorders.com.
Thank you.