How Can We Help?

Is the client 18 years or older?
If the client is under 18, how is legal custody ordered?
Do you have any ongoing contact with:
Is there a custody case open presently?
Any history of substance abuse treatment?
Any history of outpatient counseling?
Any history of inpatient mental health hospitalizations?
Are you currently on any psychiatric medication?
Any other insurance?
What service are you looking for?

Thank you. We will get back to you shortly.

About You

EAP Information

Insurance Information

Emergency Contact