Employee Health Systems

This page contains forms that may be filled out in advance of a meeting, or to assess problems and their possible solutions:

Forms

Client Intake - provides general background information about you and the problem(s) for which you are seeking assistance
Clinical Assessment/Preliminary Information - provides more detailed information about you and the problem(s) for which you are seeking assistance
Statement of Understanding - acknowledges your understanding of the employee assistance program eligibility, costs and confidentiality
Confidential Information Release - you may authorize the release of confidential information between Employee Health Systems and your employer

Worksheets

Stress Test - test designed to help assess the impact of stress at this point in your life
Work Stress Profile - test designed to help assess the impact of stress in your job and work environment
Depression Screening - test designed to help assess the severity of any depression you may be experiencing

Note: certain forms and worksheets are in .pdf format and require Adobe Acrobat Reader, which can be downloaded here