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    Name
    Email*
    Phone number
    Company name*
    Number of employees*

    CHOOSE your type of assistance program and the number of hours.

    Manager assistance
    MAP
    8 hours
    Employee and family assistance
    EFAP
    6 hours
    8 hours
    12 hours
    Employee assistance
    Phone and Online
    EAP
    6 hours

    ENHANCE support offered to your staff with these additional components.

    SELECT ALL DESIRED COMPONENTS
    Family +
    App included
    My Health Coach
    App included
    Financial Health
    App included
    Mobile app
    Recovery
    Disability-Advice
    Disability-Management
    Disability-Support

    INCREASE AWARENESS among your staff.

    Conferences and workshops
    Topics
    Workplace ergonomics
    Number and type of work stations to assess
    Screening activities
    Activity options
    Comments or questions