Employee Assistance Program Set Up

This form is intended for Samaritan Health Plans employees who wish to sign up a new EAP client.  If you found this form by mistake or need assistance with signing up a new group please email info@cascadecenters.com or call 800-433-2320.

Samaritan Health Plans EAP Set Up

  1. (required) We will not send unsolicited email nor share your email address with anyone. Ever.
Personal Info(required)
  1. (required)
  2. (required)
Phone Numbers(optional)
  1. (optional)
Please Tell Us About The Group