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Family Service Employee Assistance Program (EAP) 430 North Canal Street, Lawrence, MA 01840 1.800.683.9544 EAP FamilyServiceInc.com www.familyserviceinc.com×EAP Family Service EAP Referral Form Company
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How to fill out family service eap referral

How to fill out a family service eap referral:
01
Start by obtaining the necessary referral form from your employer's employee assistance program (EAP) or from the family service provider. This form may be available online or you may need to request it directly.
02
Carefully read the instructions provided on the referral form. Familiarize yourself with the required information and any specific documentation that needs to be attached.
03
Begin filling out the referral form by providing your personal information, which may include your name, address, phone number, and employee identification number. Ensure that all information is accurate and up-to-date.
04
If applicable, provide the necessary information about your family members who require the service. This may include their names, ages, relationship to you, and any specific issues or concerns that they are facing.
05
In the next section, indicate the type of family service needed. This could be counseling, therapy, mediation, support groups, or any other relevant service. Be as specific as possible to ensure appropriate assistance.
06
Describe the reason for the referral concisely and clearly. Include any relevant details regarding the challenges your family is facing, the impact on your well-being or work performance, and the desired outcomes or goals you hope to achieve through the referral.
07
If necessary, attach any supporting documentation that may strengthen your referral. This could include medical reports, assessments, or other relevant documents that provide additional context or evidence of the need for assistance.
08
Review the completed referral form to ensure that all required sections are filled out accurately. Double-check for any spelling or grammar mistakes and make any necessary corrections.
09
Sign and date the referral form, indicating your consent to share the provided information with the appropriate family service provider and your understanding of the privacy and confidentiality policies in place.
10
Submit the completed referral form as directed by your employer's EAP or the family service provider. This may involve mailing or faxing the form, submitting it online, or handing it directly to your designated contact person.
Who needs a family service eap referral:
01
Employees who are facing personal or family challenges that impact their well-being or work performance may benefit from a family service EAP referral. This could include issues such as marital conflicts, parenting difficulties, substance abuse concerns, mental health issues, financial stress, or any other situation that requires professional support.
02
Family members, including spouses, children, parents, or other dependents, who are experiencing significant challenges or distress may also require a family service EAP referral. This ensures that they have access to appropriate services and support to address their specific needs.
03
Employers may also encourage or require employees to utilize family service EAP referrals as a proactive measure to promote the overall well-being of their workforce. This can help address and manage personal challenges before they significantly impact work performance or employee morale.
In conclusion, filling out a family service EAP referral involves providing accurate personal and family information, describing the reason for the referral, and following any specific instructions provided. Both employees and their family members may need a family service EAP referral to access the necessary support and assistance for various personal or family challenges they may be facing.
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What is family service eap referral?
Family Service EAP referral is a process where employees can refer their family members or loved ones to the Employee Assistance Program for support and counseling services.
Who is required to file family service eap referral?
Any employee who wishes to refer their family member or loved one to the Employee Assistance Program is required to file a family service EAP referral.
How to fill out family service eap referral?
To fill out a family service EAP referral, the employee needs to provide basic information about the family member or loved one in need of assistance and submit it to the designated HR representative.
What is the purpose of family service eap referral?
The purpose of family service EAP referral is to provide support and counseling services to employees' family members or loved ones who may be experiencing emotional, mental, or personal issues.
What information must be reported on family service eap referral?
The family service EAP referral should include the name of the family member or loved one, their relationship to the employee, a brief description of the issue, and contact information for the employee.
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