EAP Works

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Join Our Team

EAP Works owns its own EAP affiliate network and we’re always looking to expand our group of partners and providers. To accomplish our mission of providing the highest quality EAP services to the employee, family members and to the overall organization it is paramount that we ensure that we have the most highly qualified professionals in our network.

If you're interested in joining our affiliate network, please review the following requirements and then complete and submit the application below to get the process started.

Affiliate Requirements
  • Minimum of a Master’s level degree in a behavioral health related field

  • At least three years post licensure experience

  • Current state license/certification at the highest level in your state

  • Malpractice insurance coverage of at least $1 million per incident and $3 million in aggregate

  • Complete and send a W-9 | Download a W-9

  • Ability to routinely serve new clients within three business days

Affiliate Application

Fill out the form below, or download a PDF application here.

First Name:
Last Name:
Group Name: (if applicable)
Office address
Address:
City:
State /Province:
ZIP /Postal Code:
Country:
Mailing address

(if different than office address)

Address:
City:
State /Province:
ZIP /Postal Code:
Country:
   
Phone:
*Email:
License Type:
Do you offer evening and/or Saturday office hours? (check all that apply)
 
 
Able to routinely serve new EAP clients within three business days?
 
Please Check any Areas of Expertise:
 






 

For new EAP Affiliate Providers, upon receipt of your information we will email an Agreement to you. Thank you for your interest in joining our organization.