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Mount Sinai Eating and Weight Disorders Program 1428 Madison Avenue New York, NY 10029 Telephone: 2126598724 Fax: 2128492561 MEDICAL CLEARANCEYour patient is considering treatment at the Mount Sinai's
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This is a treatment center at Mount Sinai specializing in eating disorders.
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Patients seeking treatment for eating disorders at Mount Sinai may be required to file this form.
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The form can be filled out online or in person at the treatment center.
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The purpose is to gather information about the patient's eating disorder and treatment needs.
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Information such as medical history, current symptoms, and treatment goals must be reported.
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