Carolinas Healthcare System Employee Assistance Program provides client coverage in 28 states, using affiliate providers that offer solutions-based counseling to employees and their families.

Affiliate Forms

• Client Information Record (PDF) – please complete and fax to 704-355-7287
• Service Contact (Word doc)
• Client Satisfaction Survey (Word doc) – for affiliate clients
• Affiliate Guidelines (PDF)
• Intake Summary (PDF)
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