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Forms

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

To begin the registration process, please complete the counseling registration form. Once received, our team will immediately begin the process of securing the first available provider in your area. If you do not receive a response within two business days, please contact our offices.


Referral Forms

Authorization to Release Information

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Affiliate Forms

Affiliate Provider Reimbursement Requirements

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Nebraska Licensee Assistance Program Forms

Authorization to Release Information

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Authorization to Release Information to Treatment Provider

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Upcoming EAP Events

Join our expert trainers as they offer programs that have a long-lasting impact on individual, group and team performance. 

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