Join the waitlist

Note: if you are a health professional, you are welcome to include yours, or your clients (with their permission) details below. We will use this waitlist to send out further information as soon as we have it available.

I am referring:

First Name

Last Name

Pronouns

Date of Birth

Phone Number

Enter your phone number without any spaces or other symbols.

Postcode

How many years have you, or the person you are referring experienced an eating disorder (in years)?

Current Primary Eating Disorder Diagnosis

If OSFED, please expand

Would you like to receive some information about other EDV supports and services that may be able to assist in the meantime?

YesNo