WebProfessional Malpractice Liability Insurance Face Sheet. State Licensure or Registration with Expiration Date. Resume. W9 Tax ID Form. Please return completed application with supporting documentation to our Corporate. Office: ESI Employee Assistance Group. E-mail: [email protected]. Fax: 585-593-6311. WebTo receive payment for EAP services rendered, you must complete the Employee Assistance Service Information (EASI) Form. Online EASI Form – Use the online application to conveniently and easily submit your EASI forms. Simply sign in with your secure username and password, and click on Submit an EASI Form on the left-hand …
Provider - ESI Group
WebThrough our partnership with ComPsych ®, we offer a three-tiered Employee Assistance Program (EAP) called EAP By Design SM. Each tier provides employers and employees … WebProvider Application How to Become an Affiliate Provider for WellSpan EAP If you are interested in seeing clients on behalf of WellSpan EAP please complete the Affiliate Provider Application and send with the supporting documentation to WellSpan Employee Assistance Program PO Box 1827, York, PA 17405-1827 for review. hippie stickers wholesale
Affiliate Providers Best Care Employee Assistance Program
WebWe will carefully review your application and contact you when the review is completed. Join the Provider Network ... As a provider with First Sun EAP we will either consider … WebEmployee Assistance Program (EAP) If you are not a broker or consultant, explore our content for plan members and families , employers, or dentists and dental offices. The events of 2024 have increased the need for professional counseling for employees. WebIf you are a fully licensed masters or doctoral level behavioral health provider offering telehealth, in-person counseling, or both, we would love the opportunity to work with you. Learn More: View our FAQ page Read testimonials Review our EAP Provider Manual. Contact Us: Call 206-268-2340 or email [email protected]. hippie stickers pack