If you are in immediate crisis and need urgent care, please go immediately to your nearest hospital emergency room or call 9-1-1.
if you need to schedule an appointment or need immediate consultation with a Matrix doctor, call Matrix at 800-886-1171.
If calling after regular business hours, the Matrix on-call doctor will be paged to return your call immediately.
Need an answer? Submit a question to a Matrix doctor and get an answer via e-mail.
Name
Email Address
Employer
Question
Please enter the characters below
EAP Provider Reimbursement Form
Download Form
Client Number
Client Name
Employer Group
Authorized Number of Sessions
Additional Comments
Provider Name
Provider Signature
Billing Name
Billing Address
Social Security Number
Or Federal Tax ID Number
Please submit this form monthly for each Matrix EAP client, whether or not the case has closed.
Matrix 2 Easton Oval, Suite 450 Columbus, OH 43219 Fax: 614-475-9821
