staging-clementineprogramscom-leadgen2.kinsta.cloud Open in urlscan Pro
162.159.135.42  Public Scan

URL: https://staging-clementineprogramscom-leadgen2.kinsta.cloud/
Submission: On October 18 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

Name: form_241987389050871POST https://montenido.jotform.com/submit/241987389050871

<form class="jotform-form" onsubmit="handleFormSubmit(event); return typeof testSubmitFunction !== 'undefined' &amp;&amp; testSubmitFunction();" action="https://montenido.jotform.com/submit/241987389050871" method="post" name="form_241987389050871"
  id="241987389050871" accept-charset="utf-8" autocomplete="off" novalidate="true"><input type="hidden" name="formID" value="241987389050871"><input type="hidden" id="JWTContainer" value=""><input type="hidden" id="cardinalOrderNumber"
    value=""><input type="hidden" id="jsExecutionTracker" name="jsExecutionTracker" value="build-date-1725908071760=>init-started:1729246374968=>validator-called:1729246375001=>validator-mounted-true:1729246375001=>init-complete:1729246375006"><input
    type="hidden" id="submitSource" name="submitSource" value="mounted"><input type="hidden" id="buildDate" name="buildDate" value="1725908071760">
  <div role="main" class="form-all">
    <ul class="form-section page-section">
      <li class="form-line fixed-width jf-required" data-type="control_dropdown" id="id_11" data-css-selector="id_11"><label class="form-label form-label-left form-label-auto" id="label_11" for="input_11" aria-hidden="false"> Who do you want to
          help?<span class="form-required">*</span> </label>
        <div id="cid_11" class="form-input jf-required" data-layout="half"> <select class="form-dropdown validate[required] is-active" id="input_11" name="q11_whoDo" style="width:310px" data-component="dropdown" required=""
            aria-label="Who do you want to help?">
            <option value="">Who do you want to help?</option>
            <option selected="" data-calcvalue="Self" value="I am seeking help for myself">I am seeking help for myself</option>
            <option data-calcvalue="Friend" value="I am seeking help for my friend">I am seeking help for my friend</option>
            <option data-calcvalue="Family Member" value="I am seeking help for my family member">I am seeking help for my family member</option>
            <option data-calcvalue="Client-Patient" value="I am a professional looking to refer a patient/client">I am a professional looking to refer a patient/client</option>
            <option data-calcvalue="Other" value="Other">Other</option>
          </select> </div>
      </li>
      <li class="form-line fixed-width jf-required" style="" data-type="control_textbox" id="id_3" data-css-selector="id_3"><label class="form-label form-label-left form-label-auto" id="label_3" for="input_3" aria-hidden="false"> First Name<span
            class="form-required">*</span> </label>
        <div id="cid_3" class="form-input jf-required" data-layout="half"> <input type="text" id="input_3" name="q3_firstName" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" autocomplete="nope"
            style="width:310px" size="310" placeholder="Your First Name" data-component="textbox" aria-labelledby="label_3" required="" value=""> </div>
      </li>
      <li class="form-line fixed-width jf-required" style="" data-type="control_textbox" id="id_4" data-css-selector="id_4"><label class="form-label form-label-left form-label-auto" id="label_4" for="input_4" aria-hidden="false"> Last Name<span
            class="form-required">*</span> </label>
        <div id="cid_4" class="form-input jf-required" data-layout="half"> <input type="text" id="input_4" name="q4_lastName" data-type="input-textbox" class="form-textbox validate[required]" data-defaultvalue="" autocomplete="nope"
            style="width:310px" size="310" placeholder="Your Last Name" data-component="textbox" aria-labelledby="label_4" required="" value=""> </div>
      </li>
      <li class="form-line fixed-width jf-required" style="" data-type="control_email" id="id_5" data-css-selector="id_5"><label class="form-label form-label-left form-label-auto" id="label_5" for="input_5" aria-hidden="false"> Email<span
            class="form-required">*</span> </label>
        <div id="cid_5" class="form-input jf-required" data-layout="half"> <input type="email" id="input_5" name="q5_email" class="form-textbox validate[required, Email]" data-defaultvalue="" autocomplete="nope" style="width:310px" size="310"
            placeholder="Your Email Address" data-component="email" aria-labelledby="label_5" required="" value=""> </div>
      </li>
      <li class="form-line form-line-column form-col-1 jf-required" style="" data-type="control_phone" id="id_6" data-compound-hint="Your Phone Number" data-css-selector="id_6"><label class="form-label form-label-top form-label-auto" id="label_6"
          for="input_6_full"> Phone Number<span class="form-required">*</span> </label>
        <div id="cid_6" class="form-input-wide jf-required" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="tel" id="input_6_full" name="q6_phoneNumber[full]" data-type="mask-number"
              class="mask-phone-number form-textbox validate[required, Fill Mask]" data-defaultvalue="" autocomplete="nope" style="width:310px" data-masked="true" placeholder="Your Phone Number" data-component="phone" aria-labelledby="label_6"
              required="" value="" inputmode="text" maskvalue="(###) ###-####"></span> </div>
      </li>
      <li class="form-line jf-required" style="" data-type="control_textbox" id="id_30" data-css-selector="id_30"><label class="form-label form-label-left form-label-auto" id="label_30" for="input_30" aria-hidden="false"> Zip Code<span
            class="form-required">*</span> </label>
        <div id="cid_30" class="form-input jf-required" data-layout="half"> <input type="text" id="input_30" name="q30_typeA30" data-type="input-textbox" class="form-textbox validate[required, Numeric, minCharLimit]" data-defaultvalue=""
            autocomplete="nope" style="width:310px" size="310" maxlength="5" data-minlength="5" placeholder="Your 5 Digit Zip Code" data-component="textbox" aria-labelledby="label_30" required="" value=""> </div>
        <div class="form-description" style="display: none;">
          <div class="form-description-arrow"></div>
          <div class="form-description-arrow-small"></div>
          <div class="form-description-content">Pls. Enter 5 Digit Zip Code</div>
        </div>
      </li>
      <li class="form-line fixed-width jf-required" style="" data-type="control_dropdown" id="id_12" data-css-selector="id_12"><label class="form-label form-label-left form-label-auto" id="label_12" for="input_12" aria-hidden="false"> How did you
          hear about us?<span class="form-required">*</span> </label>
        <div id="cid_12" class="form-input jf-required" data-layout="half"> <select class="form-dropdown validate[required]" id="input_12" name="q12_howDid" style="width:310px" data-component="dropdown" required=""
            aria-label="How did you hear about us?">
            <option value="">How did you hear about us?</option>
            <option value="Web">Web</option>
            <option value="Healthcare Provider">Healthcare Provider</option>
            <option value="Family Member-Friend">Family Member-Friend</option>
            <option value="From a Past Client">From a Past Client</option>
            <option value="I am a Past Client">I am a Past Client</option>
            <option value="Other">Other</option>
          </select> </div>
      </li>
      <li class="form-line fixed-width form-field-hidden calculatedOperand" style="display: none !important;" data-type="control_textbox" id="id_10" data-css-selector="id_10"><label class="form-label form-label-left form-label-auto" id="label_10"
          for="input_10" aria-hidden="false"> Please detail how you heard about us </label>
        <div id="cid_10" class="form-input" data-layout="half"> <input type="text" id="input_10" name="q10_ifA" data-type="input-textbox" class="form-textbox" data-defaultvalue="" autocomplete="nope" style="width:310px" size="310"
            placeholder="Please detail how you heard about us" data-component="textbox" aria-labelledby="label_10" value=""> </div>
      </li>
      <li class="form-line fixed-width always-hidden" data-type="control_textbox" id="id_26" data-css-selector="id_26"><label class="form-label form-label-left form-label-auto" id="label_26" for="input_26" aria-hidden="false"> how did you header -
          map </label>
        <div id="cid_26" class="form-input always-hidden" data-layout="half"> <input type="text" id="input_26" name="q26_howdidyouheader-map" data-type="input-textbox" class="form-textbox" data-defaultvalue="" autocomplete="nope" style="width:310px"
            size="310" placeholder="how did you header - map" data-component="textbox" aria-labelledby="label_26" value=""> </div>
      </li>
      <li class="form-line always-hidden" data-type="control_widget" id="id_22" data-css-selector="id_22">
        <div id="cid_22" class="form-input always-hidden" data-layout="full">
          <div style="width:100%;text-align:Left" data-component="widget-directEmbed">
            <div class="direct-embed-widgets get-referrer-widget " data-type="direct-embed" style="width:50px;min-height:50px"><input type="hidden" id="input_22" name="q22_typeA22" class="form-hidden getRef">
            </div>
          </div>
        </div>
      </li>
      <li class="form-line always-hidden" data-type="control_textbox" id="id_14" data-css-selector="id_14"><label class="form-label form-label-left form-label-auto" id="label_14" for="input_14" aria-hidden="false"> utm_campaign </label>
        <div id="cid_14" class="form-input always-hidden" data-layout="half"> <input type="text" id="input_14" name="q14_utm_campaign" data-type="input-textbox" class="form-textbox" data-defaultvalue="" autocomplete="nope" style="width:310px"
            size="310" data-component="textbox" aria-labelledby="label_14" value=""> </div>
      </li>
      <li class="form-line always-hidden" data-type="control_textbox" id="id_15" data-css-selector="id_15"><label class="form-label form-label-left form-label-auto" id="label_15" for="input_15" aria-hidden="false"> utm_content </label>
        <div id="cid_15" class="form-input always-hidden" data-layout="half"> <input type="text" id="input_15" name="q15_utm_content" data-type="input-textbox" class="form-textbox" data-defaultvalue="" autocomplete="nope" style="width:310px"
            size="310" data-component="textbox" aria-labelledby="label_15" value=""> </div>
      </li>
      <li class="form-line always-hidden" data-type="control_textbox" id="id_16" data-css-selector="id_16"><label class="form-label form-label-left form-label-auto" id="label_16" for="input_16" aria-hidden="false"> utm_medium </label>
        <div id="cid_16" class="form-input always-hidden" data-layout="half"> <input type="text" id="input_16" name="q16_utm_medium" data-type="input-textbox" class="form-textbox" data-defaultvalue="" autocomplete="nope" style="width:310px"
            size="310" data-component="textbox" aria-labelledby="label_16" value=""> </div>
      </li>
      <li class="form-line always-hidden" data-type="control_textbox" id="id_17" data-css-selector="id_17"><label class="form-label form-label-left form-label-auto" id="label_17" for="input_17" aria-hidden="false"> utm_source </label>
        <div id="cid_17" class="form-input always-hidden" data-layout="half"> <input type="text" id="input_17" name="q17_utm_source" data-type="input-textbox" class="form-textbox" data-defaultvalue="" autocomplete="nope" style="width:310px"
            size="310" data-component="textbox" aria-labelledby="label_17" value=""> </div>
      </li>
      <li class="form-line always-hidden" data-type="control_textbox" id="id_18" data-css-selector="id_18"><label class="form-label form-label-left form-label-auto" id="label_18" for="input_18" aria-hidden="false"> utm_term </label>
        <div id="cid_18" class="form-input always-hidden" data-layout="half"> <input type="text" id="input_18" name="q18_utm_term" data-type="input-textbox" class="form-textbox" data-defaultvalue="" autocomplete="nope" style="width:310px" size="310"
            data-component="textbox" aria-labelledby="label_18" value=""> </div>
      </li>
      <li class="form-line always-hidden" data-type="control_textbox" id="id_19" data-css-selector="id_19"><label class="form-label form-label-left form-label-auto" id="label_19" for="input_19" aria-hidden="false"> GCLID </label>
        <div id="cid_19" class="form-input always-hidden" data-layout="half"> <input type="text" id="input_19" name="q19_gclid" data-type="input-textbox" class="form-textbox" data-defaultvalue="" autocomplete="nope" style="width:310px" size="310"
            data-component="textbox" aria-labelledby="label_19" value=""> </div>
      </li>
      <li class="form-line always-hidden" data-type="control_widget" id="id_21" data-css-selector="id_21">
        <div id="cid_21" class="form-input always-hidden" data-layout="full">
          <div style="width:100%;text-align:Left" data-component="widget-directEmbed">
            <div class="direct-embed-widgets get-form-page-url-widget " data-type="direct-embed" style="width:1px;min-height:50px"><input type="hidden" id="input_21" name="q21_typeA" class="form-hidden getParentURL"
                value="https://staging-clementineprogramscom-leadgen2.kinsta.cloud/">
            </div>
          </div>
        </div>
      </li>
      <li class="form-line" style="" data-type="control_button" id="id_27" data-css-selector="id_27">
        <div id="cid_27" class="form-input-wide" data-layout="full">
          <div data-align="auto" class="form-buttons-wrapper form-buttons-auto   jsTest-button-wrapperField"><button id="input_27" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField" data-component="button"
              data-content="" aria-live="polite">Submit</button></div>
        </div>
      </li>
      <li style="display:none">Should be Empty: <input type="text" name="website" value=""></li>
    </ul>
  </div>
  <input type="hidden" class="simple_spc" id="simple_spc" name="simple_spc" value="241987389050871-241987389050871">
  <input type="hidden" name="event_id" value="1729246374968_241987389050871_RznZTML"><input type="hidden" name="timeToSubmit" value="4"><input type="hidden" name="enterprise_server" value="montenido.jotform.com" id="enterprise_server"><input
    type="hidden" name="file_server" value="hipaa-app1" id="file_server"><input type="hidden" name="target_env" value="hipaa" id="target_env">
</form>

Text Content

We have updated our Privacy Policy. By using this website, you consent to our
Terms and Conditions.

XClose

Call Today. We are here to help. 855.900.2221

 * About Us
   * Why Clementine
   * Program Outcomes
   * Clinical Leadership
 * Program Locations
   * Agoura Hills | CA
   * Yorba Linda | CA
   * Palmetto Bay | FL
   * South Miami | FL
   * Atlanta | GA
   * Chicago| IL
   * St. Louis | MO
   * Cherry Hill | NJ
   * Briarcliff Manor | NY
   * South Salem | NY
   * West Linn | OR
   * Houston | TX
   * Clifton | VA
   * Fairfax Station | VA
 * Treatment
   * What We Treat
   * Clinical Approaches
   * Medical & Nursing
   * Nutrition and Food
   * Education
   * Family Programming
   * Stepdown
 * Admissions
   * Admitting to Clementine
   * Financial Considerations
   * Referring Hospitals
   * Testimonials
 * Resources
   * Advocacy, Resources & Parity
   * Family Resource Library
   * Blog
 * Careers
 * Contact Us
   * Monte Nido & Affiliates
   * Media

 * About Us
   * Why Clementine
   * Program Outcomes
   * Clinical Leadership
 * Program Locations
   * Agoura Hills | CA
   * Yorba Linda | CA
   * Palmetto Bay | FL
   * South Miami | FL
   * Atlanta | GA
   * Chicago| IL
   * St. Louis | MO
   * Cherry Hill | NJ
   * Briarcliff Manor | NY
   * South Salem | NY
   * West Linn | OR
   * Houston | TX
   * Clifton | VA
   * Fairfax Station | VA
 * Treatment
   * What We Treat
   * Clinical Approaches
   * Medical & Nursing
   * Nutrition and Food
   * Education
   * Family Programming
   * Stepdown
 * Admissions
   * Admitting to Clementine
   * Financial Considerations
   * Referring Hospitals
   * Testimonials
 * Resources
   * Advocacy, Resources & Parity
   * Family Resource Library
   * Blog
 * Careers
 * Contact Us
   * Monte Nido & Affiliates
   * Media

 * About Us
   * Why Clementine
   * Program Outcomes
   * Clinical Leadership
 * Program Locations
   * Agoura Hills | CA
   * Yorba Linda | CA
   * Palmetto Bay | FL
   * South Miami | FL
   * Atlanta | GA
   * Chicago| IL
   * St. Louis | MO
   * Cherry Hill | NJ
   * Briarcliff Manor | NY
   * South Salem | NY
   * West Linn | OR
   * Houston | TX
   * Clifton | VA
   * Fairfax Station | VA
 * Treatment
   * What We Treat
   * Clinical Approaches
   * Medical & Nursing
   * Nutrition and Food
   * Education
   * Family Programming
   * Stepdown
 * Admissions
   * Admitting to Clementine
   * Financial Considerations
   * Referring Hospitals
   * Testimonials
 * Resources
   * Advocacy, Resources & Parity
   * Family Resource Library
   * Blog
 * Careers
 * Contact Us
   * Monte Nido & Affiliates
   * Media

 * About Us
   * Why Clementine
   * Program Outcomes
   * Clinical Leadership
 * Program Locations
   * Agoura Hills | CA
   * Yorba Linda | CA
   * Palmetto Bay | FL
   * South Miami | FL
   * Atlanta | GA
   * Chicago| IL
   * St. Louis | MO
   * Cherry Hill | NJ
   * Briarcliff Manor | NY
   * South Salem | NY
   * West Linn | OR
   * Houston | TX
   * Clifton | VA
   * Fairfax Station | VA
 * Treatment
   * What We Treat
   * Clinical Approaches
   * Medical & Nursing
   * Nutrition and Food
   * Education
   * Family Programming
   * Stepdown
 * Admissions
   * Admitting to Clementine
   * Financial Considerations
   * Referring Hospitals
   * Testimonials
 * Resources
   * Advocacy, Resources & Parity
   * Family Resource Library
   * Blog
 * Careers
 * Contact Us
   * Monte Nido & Affiliates
   * Media

Eating Disorder Inpatient & Outpatient Treatment for Adolescents

Seeking Help? Call Us Today!
855.900.2221




EATING DISORDER TREATMENT FOR ADOLESCENTS

At Clementine, we support adolescents and their families on the path to full
recovery by preparing each adolescent to navigate the challenges of life free of
the eating disorder. We provide empathy, education, and support to families as
partners in the recovery process. We help each adolescent to replace the eating
disorder with healthy skills and a deep understanding of how to live a life that
reflects their own unique individuality.


 * 
 * 
 * 
 * 
 * 


EATING DISORDER TREATMENT FOR ADOLESCENTS

At Clementine, we support adolescents and their families on the path to full
recovery by preparing each adolescent to navigate the challenges of life free of
the eating disorder. We provide the empathy, education, and support to families
as partners in the recovery process. We help each adolescent to replace the
eating disorder with healthy skills and a deep understanding of how to live a
life that reflects their own unique individuality.



Seeking Help? Call Us Today! 855.900.2221


 * 
 * 
 * 
 * 
 * 


WE'RE HERE TO HELP.

Get started on your journey to recovery.

 * Who do you want to help?*
   Who do you want to help? I am seeking help for myself I am seeking help for
   my friend I am seeking help for my family member I am a professional looking
   to refer a patient/client Other
 * First Name*
   
 * Last Name*
   
 * Email*
   
 * Phone Number*
   
 * Zip Code*
   
   Pls. Enter 5 Digit Zip Code
 * How did you hear about us?*
   How did you hear about us? Web Healthcare Provider Family Member-Friend From
   a Past Client I am a Past Client Other
 * Please detail how you heard about us
   
 * how did you header - map
   
 * 
 * utm_campaign
   
 * utm_content
   
 * utm_medium
   
 * utm_source
   
 * utm_term
   
 * GCLID
   
 * 
 * Submit
 * Should be Empty:

Submissions are confidential. We will call you soon.



We have refreshed our brand look & feel.  //   Read more here.


EXPERT MEDICAL & PSYCHIATRIC OVERSIGHT

Clementine provides the highest level of medical and psychiatric care outside of
a hospital, within a homelike setting. Medical and nursing care at Clementine
emphasizes safety in all facets of treatment as adolescents often have serious
medical complications from their illness. Each adolescent’s pre-admission
medical and mental health information is reviewed by a physician and a
psychiatrist to assure appropriate level of care.

Learn More



ST. LOUIS | MO

Clementine St. Louis, with sweeping views of the Mississippi River, treats
adolescents of all genders.




ATLANTA | GA

At Clementine Atlanta, located in Sandy Spring, GA, we offer residential eating
disorder treatment exclusively for adolescents of all genders, between the ages
of 11 to 17.




SOUTH MIAMI | FL

Clementine South Miami, located in the Pinecrest area, offers residential
treatment for adolescent girls.




NAPERVILLE | IL

Clementine Naperville, located in a suburban community just west of Chicago, is
a residential program exclusively for adolescent girls.




MALIBU LAKE | CA

Clementine Malibu Lake, located in the Santa Monica Mountains in Agoura Hills,
is a residential treatment program exclusively for adolescent girls.




HOUSTON | TX

At Clementine Houston, located in Conroe, TX, we offer residential treatment for
adolescents of all genders with an eating disorder.




PORTLAND | OR

At Clementine Portland – located in the suburb of West Linn, OR – we offer
residential treatment for adolescent girls with an eating disorder.




BRIARCLIFF MANOR | NY

At Clementine Briarcliff Manor, just north of New York City, we offer
residential treatment for adolescent girls with an eating disorder.




CLIFTON | VA

At Clementine Twin Lakes, just west of Washington, DC, we offer residential
treatment for adolescent girls with an eating disorder.




FAIRFAX STATION, VA

At Clementine Fairfax, just west of Washington, D.C., we offer residential
treatment for adolescent girls with an eating disorder.




HUDSON VALLEY I NY

Clementine Hudson Valley is located in South Salem, NY, adjacent to the
Connecticut border, is a residential treatment program exclusively for
adolescents of all genders.




ORANGE COUNTY I CA

Clementine Orange County, located in Orange County, California, is a residential
treatment program exclusively for adolescents of all genders.




CHERRY HILL I NJ

Clementine Cherry Hill, located in New Jersey and just outside of Philadelphia,
PA, is a residential treatment program exclusively for adolescents of all
genders.




PALMETTO BAY I FL

Clementine Palmetto Bay, located just south of Miami, Florida, is a residential
treatment program exclusively for adolescent girls.



PreviousNext
1234567891011121314

WE'RE HERE TO HELP

Find out more about our unique approach to eating disorder treatment and
recovery.

855.900.2221



CALL US TODAY!

All Clementine Programs are Joint Commission Accredited

Send Us A Message


ACADEMIC INTEGRATION

We know consideration of an adolescents education needs is important. At
Clementine, a personalized education plan begins prior to admission.

EDUCATION AT CLEMENTINE


TRUSTED OUTCOMES

One of the hallmarks of treatment at Clementine is how deeply and genuinely we
care about our adolescents and their experience with us. Feedback from them and
parents provide a roadmap for us to follow.

OUTCOME STUDIES


NUTRITIONAL PROGRAMMING

Using principles of mindful eating, we normalize food and eating, offering
opportunities family for support and increase autonomy in recovery.

Learn More


WE ARE IN-NETWORK WITH MANY INSURANCE PROVIDERS

Preferred Provider with: Aetna, AmeriHealth, Anthem, Beacon Health Options, Blue
Cross Blue Shield, Cigna/Evernorth, First Health Network, Magellan Health, Multi
Plan, Kaiser Permanente, and many others.

Learn more about our financial considerations


TESTIMONIALS

They learned who my daughter was inside beyond the eating disorder. The team was
able to process my daughter's trauma , which no other else could. Then she was
able to heal and move forward.

- MS

Thank you for giving us back our funny, smart , confident and happy daughter,
who we haven't seen in two years.I am forever grateful !

- MS

I will forever be grateful for the dedication and devotion of the staff, every
person involved in our daughter's recovery and the happier life they have
enabled her to lead.

- DC

Clementine was, absolutely, the right choice for our daughter and for our entire
family. We felt embraced from the moment we arrived and were enriched with
invaluable tools that we will continue to use in our daughter's recovery process
at home.

- LB

PreviousNext

WE'RE HERE TO HELP

Find out more about our unique approach to eating disorder treatment and
recovery.

855.900.2221



CALL US TODAY!

All Clementine Programs are Joint Commission Accredited

Send Us A Message

© 2023 Monte Nido & Affiliates. All rights reserved.

We save lives while providing the opportunity for people to realize their
healthy selves.

Privacy Policy Privacy Practices Terms and Conditions