Cedars Counseling

EAP Telehealth

Elevate your well-being with Enhanced Employee Assistance Program (EAP) telehealth counseling, delivering the same quality treatment as traditional telehealth therapy, enriched by employer support. With partnerships across a multitude of industries, our services are tailored to meet the needs of various employers. Begin your journey toward wellness today by contacting us to take the first step.

Learn more about individual, couples, and adolescent counseling.

New Patient Interest Form

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Name
Birth Date
Address

Help us get to know you.

Are you seeking therapy for yourself or someone else?
Marital Status
Preferred Method of Contact
Have you received therapy or counseling before?
Are you currently experiencing any crisis or urgent situation that requires immediate attention?
Would you like to be contacted by our team to pair you with a therapist who could be a great fit (free of charge)?
Do you have any preferences for the therapist's gender, age, or specific qualifications?
Are you interested in in-person sessions, online therapy, or both?
Do you have any scheduling preferences or restrictions?
How did you hear about our therapy counseling services?
Will you use health insurance or self pay?
1. Adult Use Only: Choose all that apply.
2. Adult Use Only: Choose all that apply.
3. Adult Use Only: Choose all that apply.
5. Adult Use Only: Choose all that apply.
I am experiencing something else:
Preferred Appointment Days:
Please check all that apply.
Preferred Appointment Times:
Please check all that apply.
Healthcare Provider
I would like to provide more information:
Age Verification
I certify than I am over 18 years of age.

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