UAB EACC: New Client Paperwork



Instructions for New Clients:


Individual, couple and family therapy is available by appointment only.
 

Q: How do I schedule an initial intake screening appointment?

A: To schedule an intake screening appointment, please print and complete the appropriate information forms. Please return the forms to the EACC by US mail or fax. Please print and use the HIPPA approved Fax Cover Sheet, if you choose to fax your paperwork. If this is an emergency, defined as suicidal thoughts, homicidal thoughts, abuse, and/or domestic violence, please call 911, or one of the other emergency numbers listed in the information box to the right.* You can go also go into any Emergency Room if you are feeling suicidal and seek assistance.

Once we have received your completed paperwork, we will call within 48 hours to schedule a 30-minute phone intake appointment. Please be sure to provide a phone number where you can be reached during normal business hours. All parties who are age 14 and older and will be involved in counseling must be available for the scheduled phone intake appointment. If you have not received a call from the UAB EACC within the 48-hour period after receiving your paperwork, please call the EACC at 205-934-2281.

Couples and Families: People age 14 and older who will be involved in counseling must print, complete and submit the Intake Form for Couples/Family for themselves. Parents/guardians must print, complete and submit an Intake Form for children under the age of 14.

If you are not available within 10 minutes of the start of your scheduled phone intake appointment, your intake appointment will be rescheduled to another date and time. 


Q: What happens during your initial phone intake?

A: You will talk to a counselor for 15-30 minutes. The counselor will review our policies and procedures. The counselor will ask some questions as well as review any pertinent information provided in your intake paperwork. The counselor will ask you what your goal for therapy is. The counselor will then decide on the most appropriate way to address your concerns. This may involve individual, couple, family, or group counseling, referral to a physician or nurse practitioner, and/or a referral to a counselor in the community. You will be assigned a therapist or referred to the appropriate person during the weekly Wednesday staff meeting. 

Please call 205-934-2281 after 12 p.m. on Wednesday following your phone intake to find out whom you were assigned to work with or get your referral information. 


Q: What if I am returning for counseling services?

A: If you haven’t attended an appointment with your EACC counselor within the past 6 months, you will be required to go through the intake phone screening process. If you have been in counseling within the last 6 months, please call 205-934-2281 if you would like to schedule an appointment with your current counselor. If you would like to change counselors, please let the front desk staff know that when you call.


Q: Can I do my initial intake at night or on the weekend?

A: Phone intake screening hours are Monday through Friday from 8 a.m. to 4 p.m.

 

 

New Client Intake Forms


Please fax completed intake forms to 205-975-7367 (include HIPPA Fax Cover Sheet above). Or send via email to uabeacc@uabmc.edu, or by U.S. mail:

UAB EACC
Attn: Intake
2112 11th Ave. South, Suite 330
Birmingham, AL 35205

Please be aware we cannot guarantee confidentiality if you choose to email your intake paperwork.


*If this is an emergency...

If this is an emergency, defined as suicidal thoughts, homicidal thoughts, abuse, and/or domestic violence, please call 911, or one of the numbers below. Or call the EACC front desk at 205-934-2281 during regular business hours to speak with a counselor.
  • Birmingham Crisis Center: 205-323-7777
  • Alabama Domestic Violence Hotline: 1-800-650-6522
  • 24hr Suicide Prevention Hotline: 1-800-273-8255
  • 24hr National Hopeline Network: 1-800-784-2433

You can also go into any Emergency Room if you are feeling suicidal and seek assistance.