Encrypted Contact Form
Eating Disorder Therapy LA
4929 Wilshire Boulevard, Suite 245
Los Angeles, CA 90010
(323) 743-1122
* Name
* Email Address
* Phone Number
Requested Clinician
* Insurance Type
Anthem Blue Cross of California
Aetna
Anthem Medi-Cal
Use My Out of Network Benefit
Pay Out of Pocket
Insurance ID#
*Client Birthdate
* Please let us know briefly what you are seeking counseling for
* Please let us know when you are available for appointments
Anything else we should know?
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