Emergency :
911
Suicide/crisis :
988
EAP support :
888-275-0021

Emergency :

911

Suicide/crisis :

988

EAP support :

888-275-0021

Language

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Appointments

Language

Appointments

This is your Member Reference Number (MRN). You’ll need to provide this when you make an appointment with an EAP counselor or contact your EAP by phone.

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We're Here for You

We understand this is the challenge time, and we're glad you reached out. Please take a moment to answer a few questions to help us support you better.

I am seeking support for

Myself

Minor dependent

People below 18 years of age added to your account

Note: For scheduling an appointment for an adult dependent (18+), call

Please select a minor added to your account or add a new one if required.

Note: For minor accounts, the email address used is that of the primary/parent account holder.

First Name *

First name should not be empty.

Should have min 2 to max 45 characters.

Should have only alphabets.

Should not have repetitive characters more than twice.

Last Name *

Last name should not be empty.

Should have min 2 to max 45 characters.

Should have only alphabets.

Should not have repetitive characters more than twice.

Date of Birth *

Gender *

Relationship Status *

Address line 1 *

Address shouldn't be empty

Address line 2

City *

State *

Zip code *

You have entered an invalid Zip code.

Make the address same as default address

Details saved successfully

Minor details deleted successfully

Seeking support for

Please answer the following questions to help us better understand the issue

Info

Please select a problem from the list below to help us understand your issue better. *

Please select a secondary problem from the options below. *

Welcome back!

We have noticed you have requested for multiple appointments during this episode.

Please select one appointment to proceed further.

NOTE: For additional sessions or to add a new problem, please contact customer support at $EAP_NUMBER$.