EAP Referrals

Psychsense partners with a number of companies to provide Employee Assistance and Wellbeing Programs. If your employer is a Psychsense EAP Partner, referrals can be made using the below form. If you are unsure if your employer is an EAP Partner, please list your Employer below and our friendly team will be in touch to let you know.

Name

First Name

Last Name

Phone

(###)

###

####

What services are you interested in?

Support for myself

Support for a family member

General information about supports available

Preferred contact method

Please list your preferred contact method and preferred times for contact

Please list your Employer

Message

Please add any additional information or preferences regarding your supports