Pointy Header

Employee & Student Assistance Program, Business Coaching, & Human Resources

Appointment Request

Request a Confidential Appointment

Thank you for your patience and understanding as we update our records and system to provide you a more efficient experience.

If you are eligible for EAP services through a company or organization and have not been seen prior to November 1, 2020, we have new intake forms for you to fill out.
To begin the intake and scheduling process, please go to northstar.eapintake.com.

Moving forward these forms only need to be filled out one time per client per calendar year.

If you have already filled out the intake form linked above and want to schedule additional sessions, please fill out the form below.
Client Name*
First Last
Client Date of Birth*
Date Format: MM slash DD slash YYYY
Email*
Phone*
Who is the employer that covers your EAP benefit?*
Please list your preferred days and time for scheduling for the next 10-14 days
Additional information or reason you are reaching out to Northstar
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.