EAP Provider Forms
EAP Provider Forms
Professionals providing EAP services on behalf of CG Hylton can use this convenient online form to submit for reimbursement.
We have recently streamlined our billing process and have created a single form that can be used for all programs.
This form may be used for up to 5 separate clients.
Please ensure all billing requests are submitted within 90 days of providing services.
This form will be confidentially received and processed by our EAP Coordinator.