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Service Request Form

Select the service you want to submit a request for.

If you wish to access psychological services (e.g., psychological consultation, psychological assessment), choose Psychological Services. Psychological services are not offered through the Employee and Family Assistance Program.

If your employer is a member of the EFAP (Employee and Family Assistance Program), if you are a student at l'Université de Hearst, or if you wish to request private intervention services, choose Intervention Services.

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