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Provider Forms
 

These are the forms to be completed by the provider and the client during the initial session, then faxed or mailed to SAI. The Contact History Billing Form will be used for billing purposes.


 

Client History
 

EAP Policies For Providers
 

Statement of Understanding
 

Intake Assessment Pages 1 & 2
 

Contact History and Billing Form
 

Notice of Privacy Practices / HIPPA
 

 

Contact Us
 

SAI

800.799.9327     502.452.9227