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Providers

Employee & Family Resources (EFR) partners with clinicians around the country to provide Employee Assistance Program (EAP) services, including counseling and crisis response. With decades of experience managing our own nationwide provider network, we are continually expanding our national coverage to provide services in communities both big and small.
Parnter WIth EFR
I am Already a Provider
Man explaining data to another individual
Two women in a counseling session

Partner With EFR

If you are a provider who would like to partner with EFR, please fill out the Prospective Provider form.

Becoming an EAP provider allows clinicians to become part of the community support system that keeps workers well and productive. Mental health is a growing concern for employers, as well as overall employee health and well-being. More and more organizations are providing training related to wellness, and there is opportunity for our providers to deliver that training.

Prospective Provider Form

Partner With EFR

Qualifications

We are always interested in hearing about new practices, as well as partnering with and referring to counselors. Please review the qualifications we are seeking in our partners:
Eligibility Requirements
  • Minimum of a master’s degree in any behavioral-health field
  • Licensure and/or certification in the state in which you practice
  • Current malpractice insurance with a minimum of $1 million/$3 million
  • Knowledge of the unique qualities of EAP services
  • Knowledge of community resources
Additional Specialties Preferred
  • Certified Employee Assistance Professional (CEAP)
  • Qualified Substance Abuse Professional (SAP)
  • Training and/or certification in addictions assessment and referral
  • Training and/or certification in crisis response
  • Experience delivering workplace training and orientation

Partner With EFR

Upload Affiliate Provider Form

Please complete and return our Prospective Affiliate Provider form.

Are you an affiliate provider who would like to upload a document? Please use the button below, and
we will be notified by email of your submission.

Affiliate Provider Form Upload
Male counsels a patient

Already a Provider

Provider Resources

New Provider Forms Available!

We appreciate your partnership with Employee & Family Resources. We have created this portal so you can access all of the forms you may need. If there are forms you are not finding on this page, please feel free to contact us directly and we’ll be able to add them to the page or send them to you.

For reimbursement, contracting and credentialing questions, please call :

866-834-3580

Already a Provider

Discover More

Reimbursement

Guide to EAP Provider Forms

Download

EAP Assessment Worksheet

Download

EAP Billing and Closing Form

Download

Credentialing

EAP Provider Credentialing Part 1: Administrative

Download

Affiliate Credential Part 2 – Clinical.pdf

Download

Substitute W-9 Form

Download

Verification of Pending Licensure

Download

Add a Clinician

Affiliate Credential Part 2 – Clinical

Download

Verification of Pending Licensure

Download

Inactivate a Clinician

Provider Inactivation

Download

Provider Procedures

Guide to EAP Provider Forms

Download

EAP Provider Manual

Download

Update Practice Information

EAP Provider Credentialing Part 1: Administrative

Download

Release of Confidential Information

Authorization to Disclose Confidential Information – Authorization A

Download

Already a Provider

Please watch our webinars to learn more!

Client Requests for Records or Documentation

Workplace Focus of Employee Assistance Programs (EAP)

Management Referral Webinar

New Provider Training Webinar

To contact a member of the Provider Relations Department, please call the number below or fill out our contact form.
Call EFR’s Provider Relations Department: 866-834-3580
Contact Us
Des Moines

505 Fifth Avenue, Suite 600
Des Moines, IA 50309

For Services: 800-327-4692
For Providers: 800-327-4692
For Sales: 877-883-1387

Hours of Operation:
Monday-Thursday: 8a – 5p
Friday: 8a – 4:30p

West Des Moines

Counseling Services
1001 Office Park Rd, Suite 205
West Des Moines, IA 50265
515-471-2357

The Healing Space
1001 Office Park Rd, Suite 209
West Des Moines, IA 50265
515-471-2357

Hours of Operation:
Monday: 9a – 6p
Tuesday: 9a – 6p
Wednesday: 9a – 6p
Thursday: 9a – 6p
Friday: 9a– 4:30p

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