Select the appropriate link below to submit intake paperwork online. Paperwork should be completed by the individual seeking counseling; parents/guardians should complete Intake Form for children age 13 and under.
Attention, UAB St. Vincent’s employees: Click here for information on your EAP provider.
If this is an emergency...
If this is an emergency, defined as suicidal or 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. You can also go into any Emergency Room if you are feeling suicidal and seek assistance.
- Birmingham Crisis Center: 205-323-7777
- 24hr Suicide Prevention Hotline: 1-800-273-8255
- 24hr National Hopeline Network: 1-800-784-2433
- Crisis Text Line: Text “UAB” to 741741
- Alabama Domestic Violence Hotline: 1-800-650-6522
Intake Forms
Couples/Families Intake Form
All family members must complete separate paperwork.