Request A Care Package

Name

First Name

Last Name

Who is filling out this form?

Shipping Address

We only use this to send the package.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Optional Personalization

Age of recipient

Any sensory sensitivities or things we should avoid?

Recipient Name (If different from above)

First Name

Last Name

Favorite calming activities

Would you like your care package to include a positive note?

Privacy and Consent

I understand that this care package is free and that my information will only be used to fulfill this request. I give permission to The Gentle Start Project to send a care package to the address provided.

Whether you’re entering treatment yourself or supporting someone who is, this form lets you request a free Gentle Start care package.

Each box includes soft, comforting items—like fuzzy socks, a journal, sensory tools, and a handwritten note—meant to make the first days of eating disorder treatment feel a little less overwhelming.

You don’t need to share anything personal beyond what’s needed to send the box. All information stays private, and there’s no cost—just care, comfort, and a reminder that no one has to start this journey alone.

Request A Care Package

Questions?