EAP Forms

Please review and sign the following documents, and submit to Harbor EAP before your first appointment by email, fax or mail:

Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Fax: ATTN: Harbor EAP

Mail: ATTN: Harbor EAP
PO Box 8970
Toledo, OH 43623

Please call 419-475-5338 with any questions about our documents.

EAP Statement of Understanding

Consent and Guidelines: Communication by E-mail/Text Messaging with Persons Served

Informed Consent for Interactive Videoconferencing Services

Notice of Privacy Practices for Protected Health Information