Click any of the links below to download the forms.
EAP Works invites licenses Mental Health Professional to join our EAP Affiliate network by completing the Affiliate Information form and sending it with your professional license and malpractice insurance.
Upon assignment of an EAP Client please Send completed forms to EAP Works via fax at 844-9961303 or email to firstname.lastname@example.org. If you have any questions or need any additional forms, please call 844-361-4348.
Client Forms (Download), 1,2,3 (download includes multiple forms)
1. Notice of Privacy & Statement of Understanding
2. Release of Information
3. Client Demographic
6. Client Tracking & Billing and Close Case Summary