Best Care EAP Forms

For convenience and quick access, we have listed all the relevant forms you will need for accessing services with Best Care EAP.  If you have questions concerning a form or need assistance with completing a form, please call our office at (402) 354-8000 or (800) 801-4182 or email

Risk Assessments

Screening Tools

Counseling Forms

Intake Packet

Referral Forms

Employer Referral Form

Authorization to Release Information

EAP Referral Guidebook

Affiliate Forms

Affiliate Provider Reimbursement Requirements

Provider Application

Coaching Forms


Employer Approval   Client Information   Client Statement of Understanding


2021 Educational Services Catalog   2021 PILLAR TRAINING PROGRAMS

link to training calendar



Brochures:  Trifold  Spanish       One Page  Spanish

NEW (WORDCLOUD) Poster  Spanish     NATURE  - Poster Series

What are you waiting for Poster Series - Qtr 1  Qtr 2   Qtr 3   Qtr 4

Maximize Your Counseling Experience     Telehealth Services   Spanish 

Referral Guidebook

Boletín Trimestral en Español (Quarterly Spanish Newsletter) - 3/16/21

Boletín Trimestral en Español (Quarterly Spanish Newsletter) - 6/22/21

Coronavirus Specific Communication

Helpline Ad  Helpline Ad - Spanish  (girl on phone)

Emotional Support Helpline Ad

Additional Resources

Quit the Tobacco Habit Flyer

National Childcare Resources

National Eldercare Resources

National Legal & FInancial Resources


ME Summary