References

Click Here to use our loss prevention calculator and see your company's potential loss to mental health and chemical dependency situations.

We offer a variety of products and services to best serve your organization. You are welcome to call EAP Works at 1-800-882-1985 and all information is completely confidential. Our goal is to ensure your workforce is healthy and productive.

Please complete the information below.

Step 1.	*Number of Employees*

Step 2.	*Products and Services*
Product A.	Select the number of EAP Face-To-Face Counseling Sessions Desired:
Product B.	EAP Telephone Counseling Yes No
Product C.	Internet EAP Services (Worklife Services) Yes No
Step 3.	*Contact Information*
	Are you a benefits consultant? Yes No
	Are you a Human Resources professional? Yes No
Company Name:
Address:
City:
State:
Zip Code:
Company Website:	(for verification purposes)
Contact Person:
Contact Phone Number:
Contact Email:
Comments:
	I understand that the information requesting EAP quotes is solely designed to help connect me with an EAP and is not liable for any future citcumsyances or problem that could occur in my relation or contact with asn employee assistance program I Agree

3355 Medlock Bridge Rd.
Norcross, Ga. 30092
770-449-1111
800-882-1985
send e-mail