Providers

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Partner with EFR

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

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.

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.

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:

  • 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
  • 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

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.

To contact a member of the Provider Relations Department, please call the number below or fill out our contact form by clicking here.

Contracting & Credentialing
Provider Relations Specialist
866-834-3580

Provider Reimbursement
WPS Operations Specialist
877-522-2328

Des Moines

505 Fifth Avenue, Suite 600

Des Moines, IA 50309

EAP Toll Free: 800-327-4692

Sales & Marketing: 877-883-1387

Hours of Operation:

Monday-Thursday: 8a – 5p

Friday: 8a – 4:30p

West Des Moines

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

Hours of Operation:

Monday: 10a – 7p
Tuesday: 10a – 7p
Wednesday: 9a – 6p
Thursday: 8a – 5p
Friday: 8a– 4:30p

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 questions, please call: 

877-522-2328

For contracting and credentialing questions, please call :

866-834-3580

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.

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

Discover more

  • Reimbursement
  • Credentialing
  • Add a Clinician
  • Inactivate a Clinician
  • Provider Procedures
  • Release of Confidential Information
  • Update Practice Information
document (3) 1

Guide to EAP Provider Forms
45.50 KB

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EAP Assessment Worksheet
45.50 KB

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EAP Billing and Closing Form
45.50 KB

document (3) 1

EAP Provider Credentialing Part 1: Administrative
45.50 KB

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Affiliate Credential Part 2 – Clinical.pdf
45.50 KB

document (4) 1

Substitute W-9 Form
45.50 KB

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 Verification of Pending Licensure
45.50 KB

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Affiliate Credential Part 2 – Clinical
45.50 KB

document (3) 1

Verification of Pending Licensure
45.50 KB

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Provider Inactivation
45.50 KB

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EAP Provider Manual
45.50 KB

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Guide to EAP Provider Forms
45.50 KB

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Authorization to Disclose Confidential Information – Authorization A
45.50 KB

document (4) 1

Authorization to Disclose and/or Obtain Confidential Information – Authorization B
45.50 KB

document (3) 1

EAP Provider Credentialing Part 1: Administrative
45.50 KB


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