Wellspring RENEW YOUR 2020 MSCARES COUNSELING BENEFIT

The following form is to request a continuation of your EAP benefit in 2020 with your current therapist. This form is only intended for clients who used their EAP benefit with their therapist in 2019. If you have not used your EAP benefit with your current therapist, or are looking for a new referral, please fill out a request for services form.

Once you complete this form, please allow 2-4 business days for it to be processed. EAP staff will outreach to you only if additional information is needed.