Client Intake Form

(Fill out and digitally sign online)

Client Intake Form

(download, print, fill out, and scan/email or mail to us)

Client Satisfation Survey

(Help us improve by sending feedback on our services)

Supervisor Referral Form

(Fillable pdf)

Supervisory Referral Form

(Non-Fillable pdf)

SAP Referral Form

(Making a referral for a DOT or non-DOT drug/alcohol violation)

Release of Information Form

(Authorization for release of protected health information)

Poster Order Form

(Order EAP posters for your worksite)

Reasonable Suspicion Form

(If your company does not have such a form for drug/alcohol for cause testing decisions)

Employer Satisfation Survey

(Help us improve by sending feedback on our services)