Intake Forms

Once you have spoken to your therapist and Matt, decided that EAP is a good fit for your needs, and arranged for your first appointment, please download the following documents. Please return them in a timely manner so that Matt and Suzanne have time to read them before your first session.

Please download, read, and keep these two documents.

• HIPPA Privacy Notice
• Client Contract

Please download, complete, and submit these forms to us:

• Information Release
• Signature Page
• Liability Form
• Client Profile

For Referring Therapist:

• Therapist's Referral Form