The following forms (in .pdf format) are available for download by All Points EAP Affiliates:

• Statement of Understanding
• Release of Information
• Contact Billing
• HIPAA Notice of Privacy Practices

Please Note:

At the first session with the client, please go over the Statement of Understanding of EAP services and have all present over the age of 14 years sign.  Return this form and the Contact Billing form for payment. 

The Notice of Privacy Practices must be given to the client at the first session and is theirs to keep.

Intake and follow up notes may be kept on the affiliate's own forms / electronic forms or may use All Points EAP's intake form(s) below.  Our goal is to reduce the affiliate's time taken with unfamiliar forms by allowing use of individuals/organizations own documentation processes.  All documentation is to be done in accordance with ethical, legal, and regulatory requirements. 
Documentation needed for payment should be returned within 60 days of last appointment.

• Intake/Assessment Form  - you may use the first 2 pages only for Routine Assessments or use all 4 pages for Complex Assessments.