Please complete the following before your first EAP session:

• Demographic Information Form
• Consent to Treatment Form
• Intake Form
• HIPAA (This is your privacy rights. You may download this form for your files)

Optional Forms to completed if your counselor requested:

• SCL-90
• ACE

Demographic Information Form

Consent to Treatment Form

Intake Form

SCL-90

ACE

HIPAA