Los Angeles ARFID Camp Consent Form

Welcome to ARFID Camp. This 8-hour intensive ARFID camp is designed for you and your child with ARFID. It is not therapy but is designed to include experiential activities to help you and your child learn about their sensory superpowers, understand their sensory experiences, and explore novel foods.

What to Expect

This 8-hour program will run for 4 days from 10 am to 12 pm at 4929 Wilshire Blvd., Suite 1000. The office will be open by 9:30 am. You may arrive early. Please do not arrive late as your child will miss out on part of the experience.

The child and one parent are expected to attend together. Activities will be experiential so please wear clothes that can get messy. We will provide materials. You may be asked to send preferred foods. Parents should plan to remain in the building for the entire session unless specific other arrangements are made. There will be activities for parents too.

Your Camp Facilitators

The camp is run by Lauren Muhlheim, Psy.D. and Vanessa Galeano, SLP.

Fees

Fee is $1000 inclusive of all materials. We are not able to bill insurance for this intensive experience. A $500 deposit is required to hold your spot. The $500 balance is due on the first day of the program.

Refund Policy

The fee is non-refundable. There is no pro-rating for missed days. For illnesses, please provide a doctor’s note.

Contact Info

Your therapist can be reached during normal business hours Monday through Friday by calling Eating Disorder Therapy LA at 323-743-1122 or by emailing: Lauren Muhlheim–LMuhlheim@EDTLA.com or Vanessa Galeano–hello@sipstospoonfuls.com

Consistent Attendance

This is a time-limited program. You and your child are expected attend in entirety to benefit from the varied activities. If your child gets sick, please notify us right away. We can try to offer a makeup date.

Consent

I consent to have my child attend the ARFID camp. I understand that no specific promises have been made to me about the results of this camp. In consideration of my participation in camp, I hereby accept all risk that may result from such participation, and I hereby release Lauren Muhlheim, Psy.D., Eating Disorder Therapy LA, and Vanessa Galeano SLP from any liability to me, my personal representatives, estate, heirs, next of kin, and assigns for any and all claims and causes of action for loss of or damage to my property and for any and all illness or injury to my person, that may result from or occur during my participation in the ARFID camp. I further agree to indemnify and hold harmless Lauren Muhlheim, Psy.D., Eating Disorder Therapy LA, and Vanessa Galeano SLP from liability for injury of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in the described Feeding Therapy session.

I agree to pay $1000 for the ARFID camp. I will pay a deposit upon registration amounting to $500, and I authorize EDTLA to charge my credit card for the balance. Payment is expected for the entire camp and will not be prorated based on attendance.

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