Contact us –

Contact Form for Self-referrals (not for use by NHS or Healthcare professionals)

PLEASE PROVIDE ALL OF THE FOLLOWING INFORMATION WHEN USING THE FORM. WE WILL THEN CONTACT YOU TO ARRANGE AN ASSESSMENT OR ONWARD REFERRAL

COMPLETE THE FORM BELOW AND THEN CLICK SUBMIT – THIS FORM WILL ONLY SUBMIT IF THERE IS DATA IN EVERY FIELD

Name *

Date of birth *

Postcode *

Email *

Contact telephone number *

Can we leave a message? *

Details of Eating Disorder symptoms – please provide as much detail as possible.

What issues are you experiencing with food and eating and how are they affecting you?

Are you restricting your food intake? *

Do you binge eat and purge or use other compensatory measures (if so, please include frequency)? *

How long have these issues been present? *

Do you know your current weight / height / BMI? *

Have you been in contact with your GP about your eating issues? *

Is this your first episode of an eating disorder? *

Have you had any previous treatment for eating disorders? *

Are you receiving support from any other mental health services? *

Have you previously used our service? *

By ticking this box and using this form, you agree with the storage and handling of your data by this website. *

I agree

Phone

Complaints Procedure Written complaints may be sent to Eating Matters at 34 Colegate, Norwich, NR3 1BG or by email to director@norfolkeda.org.uk. Verbal complaints may be made by phone to 01603 665974 or in person to any of Eating Matters’ staff, counsellors, volunteers or trustees at the above address.

“Amazing staff that really understand and listen. Really helpful, they work at your pace, not theirs. Very kind and accommodating, I always feel better afterwards. The staff have helped me keep on the straight and narrow”

“I have found the service very helpful, it has given me the ability to take back self-control and has had a positive influence on the decisions that I make.”

“These are people who understand the seemingly crazy thoughts and voices going through your head relating to food and body image. They have heard it all before and they ‘get it’. If you need specialised, different types of help, they can do that too.”

“Eating Matters is a safe house for me. A place where my independence is encouraged and my privacy respected. Whilst the staff are always available to help and listen, they are also discreet and non-judgemental.”

“I found Eating Matters online and they were immediately able to meet me and guide me on how to encourage my teenager to attend meetings with a counsellor who was carefully matched to work with her. She is now at university!”