Affiliate Manual

As an affiliate for Workplace Solutions, we ask that you contact the client to schedule the initial appointment unless otherwise indicated. We ask that the initial appointment be held within 4 (four) business days of our initial contact with you.

***IMPORTANT***
Please notify Intake when the initial appointment has been scheduled. The case manager must be contacted for consultation after the assessment and before a referral is made. There may be additional sessions available; however, any sessions held without prior authorization may not be reimbursed.

WS will be responsible for providing the affiliate with forms including those used to open a case, demographic and clinical data, narrative and contact history, Release of Information, Statement of Understanding, and any subsequent forms related to outcome measures or studies. For ease of access, all clinical forms can be found below in our EAP Referral Paperwork document. All forms are to be completed on a timely basis and submitted within forty-five (45) days of completion of service to ensure reimbursement.

For a quick reference guide please click here to download information about our Affiliate selection process and procedures.

Please return completed paperwork to the case manager's attention at the following address or fax:

Feel free to contact us with any questions you may have. We can be reached at (800) 327 - 5071, Monday through Friday, 8:30 am - 5:00 pm CST. Thank you for your involvement in Workplace Solutions' EAP Affiliate Network.

EAP Referral Paperwork Packet

Spanish Docs
HIPAA - Notice of Privacy Practices SPANISH
Statement of Understanding SPANISH

Click on About Us for more information about the services Workplace Solutions provides.  Contact Us to inquire further about becoming a valued member of our affiliate network.