Background <p>Access to eating disorder care for child and adolescent patients is challenging especially for patients from rural and/or lower-resourced health systems. In order to improve the availability of eating disorder treatment, we developed Family-Based Treatment for Primary Care (FBT-PC), for primary care delivery. Although research has shown that FBT-PC has a significant effect on young patients’ eating disorder symptoms, the model has not been evaluated in rural settings. The purpose of this study was to establish proof-of concept of an adaptation of FBT-PC for rural settings, in preparation for a pilot feasibility/acceptability trial.</p> Methods <p>This study describes adaptations made to the FBT-PC protocol for implementation in small town and rural areas, as well as a case series of six children and adolescents with restrictive eating disorders who received FBT-PC in these settings.</p> Results <p>Findings from this case series establish proof-of-concept for FBT-PC implementation in rural primary care clinics. Specifically, the majority of patients either completed treatment (<i>n</i> = 3) or were referred to standard FBT (<i>n</i> = 1) which is consistent with the intention of FBT-PC as offering a lower-step eating disorder intervention.</p> Conclusions <p>These promising preliminary cases support further evaluation of FBT-PC in rural settings. Future research is needed to assess clinical outcomes and acceptability of the intervention. </p> <p><i>Trial Registration</i>&#xa0;Clinicaltrials.gov #22-011880</p>