Participating Provider Forms
Participating Provider Step-by-Step Procedures (explains referral WSEAP process)
WSEAP Statement of Understanding form (this must be signed by every EAP patient)
Sample EAP HCFA 1500 Claim Form (please use this as a guide for all claims)
WSEAP Referral & Invoice Form (use only if provider cannot use HCFA 1500 form)
Client Status Report (completed by therapist after any supervisor referral session)
Adobe Acrobat Reader is needed to view these documents. Click here to download.