REQUEST AN APPOINTMENT BELOW

Interested in a counseling appointment, referral to a lawyer or financial consultant, or help with other resources?

Call us for any matter, anytime at 1-866-660-9533 (24/7), or simply complete the form below. All of our services are confidential and at no cost to you.

Important:

  1. Please do not use this form for urgent matters. We respond to these requests within 2 business days.
  2. If you don't hear back from us within 2 business days, please check your email's spam folder or call the number above. Thanks.

An EAP staff person will contact you and provide the resource, referral, or appointment you need. 

Your employer or the employer of the adult in your household that provides your confidential EAP benefit.
City, State, and ZIP code of your residence
(Please note that our voice mail message will state that we are calling from EAP)