This form is for managers, supervisors, human resources and other leaders that would like a non-urgent consult with the EAP. If your matter is urgent or cannot wait DO NOT complete this form. Please call 866-724-4327 instead.
If your employee or staff member is experiencing a life-threatening situation, please call 911 or immediately send them to a local hospital emergency service.
After you submit the form, we will get back to you within one business day.