Forms

Clients

Welcome and thank you for making an appointment with Preferred EAP.
To expedite the first appointment process, please print each of the forms noted below, then complete and bring them with you to your first session. Please complete a full set of forms for each person to be seen in session.

• Welcome Letter
• Client Information Form
• Health Information Privacy Notice
• Communication Consent Form Revised

Please remember that services provided by Preferred EAP are free of charge to eligible participants.

However, if you make an appointment and then fail to keep it, or cancel an appointment with less than 24 hours notice, that session may be deducted from the sessions for which you are eligible.

So, if you need to cancel an appointment with us, please call well in advance.

Thank you.

National Network Providers

Reporting and invoicing

• Provider Report
• Provider Invoice
• Client Information Form
• Communication Consent Form

Application and Credentialing

• Provider Application
• Standards for National Network Providers
• Provider Attestation Update
• Remote Update Form