



     <!-- SiteMaker 7.0 CMS (TM)
     Code created by Medseek, Inc. 2028 Village Lane, Solvang CA 93463.
     Phone 1-888 MEDSEEK. email info@medseek.com. http://www.medseek.com 
     (c) 1999-2010 Medseek, Inc. All rights reserved.-->
    













	
	
	 
	 
	 
	 

	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	


	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		

	 
	 
	 
	 

	
	
	
	
	
	
	
	
		
	

	
	 
	
	
	
	
	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	
	
	
	
	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

		
	
	
	
	
	
	
	
	
	
	

	
	

	
	

	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		
	
	
		
		
	
		
	
	
		
	
	
	
		
	
	
	
	
	
	
	
	

	
	
	
	
	
		
		
			

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		
		

		
	
	
	
	




	
	
	

	
	
	
	
	
	
	
	
	
	

	
	


	
	
		
			
		
	
	
	
	
	
		
			
		
	
	
	
	
	

 


	
	
	
		



		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
			
		
		
			

		

		
		
		
	
		

		
		

		
		
		
		
			
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
			
				

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

				
			
		
		

		
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
		

		
		
		
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
			
				

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		

		

		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		

		
		
		
		


		
			

		

		
		
		

	
		
		
		
		

		


		
		
		
		


 

		
	

	
	
		





















 

	

 







		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		


		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		


		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		


	



	


	



	<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
	<HTML>






	<HEAD>
	<TITLE>EAP Referral Forms</TITLE>
	<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
	<meta name="description" content="">
	<meta name="keywords" content="">
	<style type="text/css">
		@import url(default.css);
	</style>
	<script type="text/javascript">
	//<!--
		// This API is used here and by the Google Module.  No need to render it twice.
		var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); 
		document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));

		function loadGoogleTracker()
		{
			try
			{
				var pageTracker = _gat._getTracker("UA-3675414-19");
				pageTracker._trackPageview();
			}
			catch (ex) {}
		}	// loadGoogleTracker
		
		function searchSubmit(f)
		{
			if (sm_ValidateForm(f))
			{
				f.action = f.action + "&action=list&q=" + escape(f.keywords.value);
				return true;
			}
			else return false;
		}	// searchSubmit
	//-->
	</script> 
	
				
<script type="text/javascript">
//<!--
var ns4 = (document.layers);
var ie  = (document.all);
var ie4 = (ie && !document.getElementById);
var ie5 = (ie && document.getElementById);
var ns6 = (!ie && document.getElementById);

var aryMoused = new Array();
var aryLayerMoused = new Array();
var aryMoImages = new Array();
var imageList = new Array();
var runMouseOvers = true;
var TimerID = null;
var iLimit = 25;
var itmp = 0;

var nbTime = 100;
var nbTimes = 2;
var nbThisLoc = 325;
var aryLayerNames = new Array();
var aryNavBarLayerInfo = new Array();
var aryNavBarLayers = new Array();

var registeredObjects = new Array();
var viz = "hide";

function MOImage() {
	var arg = MOImage.arguments;
	this.ptrImage = BillzNavBarMM_findObj(arg[0]);
	this.imageMO = new Image();
	this.imageMO.src = arg[1];
	this.HTMLname = arg[0];
	this.Moused = false;
	this.OriginalSrc = '';
	return true;
}

function BillzImagePreload() {
	// 0) html image name 1) mo image src 2)image Name for rollover key (rollover may have multiple mos for one html Image) 
	var arg = BillzImagePreload.arguments;
	nbImagePreload(arg[0], arg[1], arg[2]);
}

function nbImagePreload(img_name, mo_img_src, rollover_key_img_name) {
	var imageKey = (rollover_key_img_name.length > 0) ? rollover_key_img_name : img_name;
	imageList[imageList.length] = imageKey;
	if (!(aryMoImages[imageKey])) aryMoImages[imageKey] = new MOImage(img_name, mo_img_src);
}

function BillzMouseover() {
	var arg = null;
	if (runMouseOvers) {		
		arg = BillzMouseover.arguments; //args 0)ImageName 1)OriginalSrc 2)array index (caller imagename)		
		nbMouseover(arg[0], arg[1], arg[2]);
	}
	return true;
}
// args 1) ImageName 2) OriginalSrc 3) array index (caller imagename)
function nbMouseover(img_name, orig_src, img_key) {
	var imageKey = null;
	var o = null;
	if (runMouseOvers) 
	{				
		imageKey = (img_key.length > 0) ? img_key : img_name;
		if (!(aryMoImages[imageKey].ptrImage)) aryMoImages[imageKey].ptrImage = BillzNavBarMM_findObj(img_name);		
		if (aryMoImages[imageKey] && (o = aryMoImages[imageKey].ptrImage)) {
			aryMoImages[imageKey].OriginalSrc = orig_src;
			aryMoImages[imageKey].Moused = true;
			o.src = aryMoImages[imageKey].imageMO.src;
		}
	}
	return true;
}

var NavBarTempOnload = null;
if (window.onload && window.onload != null) NavBarTempOnload = window.onload;

function FullyLoaded() {
	if (NavBarTempOnload != null) NavBarTempOnload();
	runMouseOvers = true;
	return true;
}

function BillzMouseOutTimer() {
	return nbMouseOutTimer();
}

function nbMouseOutTimer() {
	if (TimerID) clearTimeout(TimerID);
	TimerID = setTimeout("nbLayerRestore()",5000);
	return true;
}

function RestoreAll() {
	nbMouseoverRestore();
	nbLayerRestore();
	return true;
}

function BillzMouseoverRestore() {
	return nbMouseoverRestore();
}

function nbMouseoverRestore() {
	var i = 0;
	var o = null;
	if (runMouseOvers) {
		for (i = 0; i < imageList.length; i++) {
			if (aryMoImages[imageList[i]].Moused && (o = aryMoImages[imageList[i]].ptrImage)) {
				o.src = aryMoImages[imageList[i]].OriginalSrc;
				aryMoImages[imageList[i]].Moused = false;
			}
		}
	}
	return true;
}

function BillzLayerRestore() {
	return nbLayerRestore();
}

function nbLayerRestore() {
	var i = 0;
	for (i = 0; i < aryLayerNames.length; i++) {
		if (!aryNavBarLayerInfo[aryLayerNames[i]].isDefault) BillzNavBarRestoreLayers(aryLayerNames[i]);	
	}
	return true;
}

function BillzArrayPushUnique(aryArray, varNewElement) { //only pushes if unique value
	var pushIt = true;
	var i = 0;
	for (i = 0; i < aryArray.length && pushIt; i++) {
		pushIt = (varNewElement != aryArray[i]);
	}
	if (pushIt) BillzArrayPush(aryArray, varNewElement);
	return pushIt;
}

function BillzArrayPush(aryArray, varNewElement) { //Implement Array Push 'cause IE cant handle it
	aryArray[aryArray.length] = varNewElement;
	return true;
}
function BillzArrayPop(aryArray) { //Implement Array Pop 'cause IE cant handle it before 5.5
	var varItemToPop = null;
	if (aryArray[aryArray.length - 1]) {
		varItemToPop = aryArray[aryArray.length - 1];
		aryArray[aryArray.length] = null;
	}
	return varItemToPop;
}

function getDivRef(id) {
	var divref;
	if(ns4) divref = document.layers[id];
	else if(ie4) divref = document.all[id];
	else if(ie5 || ns6) divref = document.getElementById(id);	
	return divref;
}

//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
function NavBarSwapRollover(swapimage,defaultimage,imageID) {
	if(imageID.length > 0 && document.getElementById(imageID))
	{
		if(swapimage.length > 0) 
			document.getElementById(imageID).src = "images/" + swapimage;
		else
			document.getElementById(imageID).src = "images/" + defaultimage;		
	}
}
function BillzNavBarMM_findObj(n, d) {
	var p,i,x;
	if (ns6) x = document.getElementById(n);
	else {		
		if (registeredObjects[n]) return registeredObjects[n];
		if (!(d)) d = document;
		try {
			p = n.indexOf("?");
		}
		catch(e) {
			p = 0;
		}
		if (p > 0 && parent.frames.length) {
			d = parent.frames[n.substring(p+1)].document;
			n = n.substring(0,p);
		}
		if (!(x = d[n]) && d.all) x = d.all[n];	
		for (i = 0; !x && i < d.forms.length; i++) {
			x = d.forms[i][n];
		}
		for (i=0; !x && d.layers && i < d.layers.length; i++) {
			if (d.layers[i].id.indexOf("external_") == -1) x = BillzNavBarMM_findObj(n, d.layers[i].document);	
		}
		registeredObjects[n] = x;
	}				
	return x;
}

function BillzArrayContains() {
	var arg = BillzArrayContains.arguments;
	var foundit = false;
	var i = 0;
	for (i = 0; i < arg[0].length && !foundit; i++) {
		foundit = (arg[1] == arg[0][i]);
	}
	return foundit;
}

function NavBarRegisterLayer() {
	var arg = NavBarRegisterLayer.arguments;
	var n = arg[0];
	var d = arg[1];
	var mo = false;
	var o = null;
	if (arg[2] && arg[2] == 'MOutLayer') mo = true;
	else mo = false;
	
	if (!(BillzArrayContains(aryLayerNames, n))) {
		if (o = BillzNavBarMM_findObj(n)) {
			aryNavBarLayers[n] = o;
			BillzArrayPushUnique(aryLayerNames, n);
			aryNavBarLayerInfo[n] = new NavBarLayer(n, d, mo);
		}
	}
	return true;
}

function BillzNavBarMM_showHideLayers() {
	//v3.0 name changed, this function complements of MM Dreamweaver with customizations by Bill Heller
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarMM_showHideLayers.arguments;
	
	if (args[args.length - 1] != "menu") nbMouseOutTimer();
	for (i = 0; i < (args.length - 2); i += 3) {
		if (!aryNavBarLayers[args[i]]) {
			x = (args[i + 2] == 'show') ? 'hide' : 'show';
			NavBarRegisterLayer(args[i], x);
		}
		if ((obj = aryNavBarLayers[args[i]]) != null) {
			v = args[i + 2];
			aryNavBarLayerInfo[args[i]].isDefault = false;
			if (args[args.length - 1] == "restore") v = (v == 'show') ? 'hide' : 'show';
			
			if (obj.style) obj.style.visibility = (v == 'show') ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			else obj.visibility = v;
		}
	}
	return true;
}

function BillzNavBarRestoreLayers() {
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarRestoreLayers.arguments;
	for (i = 0; i < (args.length); i++) {
		if (obj = aryNavBarLayers[args[i]]) {
			v = aryNavBarLayerInfo[args[i]].defaultVisibility;
			if (obj.style) {
				obj = obj.style;
				v = (v == 'show' ) ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			}
			obj.visibility = v;
			if (!aryNavBarLayerInfo[args[i]].MOutLayer) aryNavBarLayerInfo[args[i]].isDefault = true;			
		}
	}
	return true;
}

function NavBarLayer() {
	var arg = NavBarLayer.arguments;
	this.defaultVisibility = arg[1];
	this.isDefault = true;
	this.MOutLayer = arg[2];
	return true;
}

function BillzNavMove() {
	return nbNavMove();
}

function nbNavMove() {
	var thisl = null;
	var otherl = null;
	if (thisl = BillzNavBarMM_findObj("nbScrollLayer")) {
		if (thisl.style) {
			thisl = thisl.style;
			viz = "hidden";
		} 
		thisl.top = nbThisLoc -= 3;
		if (nbThisLoc < -750) {
			nbThisLoc = 325;
			nbTimes--;
		}
	}
	if (nbTimes <= 0) {
		otherl = BillzNavBarMM_findObj("BillzLayer");
		otherl.visibility = viz;
	} else {
		setTimeout("nbNavMove()", nbTime);
	}	
	return true;
}

function NavBar_openadmin() {
	window.open('admin/','SiteAdmin','height=screen.availheight,width=screen.availwidth,scrollbars=1,toolbar=0,directories=0,status=0,menubar=0,resizable=1');
	return true;
}

window.onload = FullyLoaded;
//-->
</script>
					
<script type="text/javascript">
//<!--
				
nbImagePreload('hr_signin_1_3','images/hr_signin_on.jpg', '');
nbImagePreload('hr_faqs_1_4','images/hr_faqs_on.jpg', '');
nbImagePreload('hr_connecthome_1_5','images/hr_connecthome_on.jpg', '');
nbImagePreload('hr_careers_1_6','images/hr_careers_on.jpg', '');

//-->
</script>
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
	}	
}
		
//-->
</script>
			
				
<script type="text/javascript">
//<!--
				
nbImagePreload('hr_benefits_2_1','images/body_hr/hr_benefits_on.jpg', '');
nbImagePreload('hr_ed_training_2_2','images/body_hr/hr_ed_training_on.jpg', '');
nbImagePreload('hr_worklife_2_3','images/body_hr/hr_worklife_on.jpg', '');
nbImagePreload('hr_compensation_2_4','images/body_hr/hr_compensation_on.jpg', '');
nbImagePreload('hr_hrnews_2_5','images/body_hr/hr_hrnews_on.jpg', '');
nbImagePreload('hr_contacthr_2_6','images/body_hr/hr_contacthr_on.jpg', '');
nbImagePreload('hr_formspolicies_2_7','images/body_hr/hr_formspolicies_on.jpg', '');

//-->
</script>
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
	}	
}
		
//-->
</script>
			
				
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
	}	
}
		
//-->
</script>
			
				
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
	}	
}
		
//-->
</script>
			</HEAD>

 


<body bgcolor="516684" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" style="scrollbar-face-color: #516684" "scrollbar-arrow-color: #516684">
  <table width="100%" border="0" cellpadding="0" cellspacing="0" bgcolor="FFFFFF">
    <tr> 
      <td width="100%" valign="top" style="background-image:url(images/hr_topheadertile.gif); background-repeat: repeat-x; background-position: top left;"><table width="100%" border="0" cellpadding="0" cellspacing="0">
          <tr> 
            <td width="0%" valign="top"><img src="images/hr_topnavflag.jpg"></td>
            <td width="0%" valign="top"><img src="images/hr_headermiddle.jpg"></td>
            <td width="100%" valign="top" align="right" style="background-image:url(images/hr_topheaderright.gif); background-repeat: no-repeat; background-position: top right; padding: 0px 10px 0px 10px;"><br><br>


	<style name="text/css" class="search">		
		td.search {background-color: transparent; background-image: URL(images/clear.gif); font-family: verdana,arial; font-weight: ; font-size: 10px; font-color: 000000;}
				
	</style>
<script type="text/javascript" src="http://chi-hf-sm6-02.medseek.com/sm_FormValidation.js"></script>
		<form action="body.cfm?id=9" id="frmSearchTeaser" method="POST" onSubmit="return searchSubmit(this);">
		<input type="hidden" name="search_areas_id" value="">	
		<input type="hidden" name="includewhat" value="">
		<input type="hidden" name="keywords_required" value="You must enter a keyword to search.">	
		<table border="0" cellpadding="0" cellspacing="0" background="" align= "right" class="search">		
			<tr class="search">							
				
					<td class="search"></td>
				
				
					<td class="search"><input type="text" border="0" size="16" style="background-color: transparent; border-style: solid; border-color: black; border-width: 0px; font-size: 11px;" name="keywords" id="keywords" value="&nbsp;&nbsp;Search Henry" align="absmiddle" onblur="if(!this.value)this.value='&nbsp;&nbsp;Search Henry';" onfocus="if(this.value=='&nbsp;&nbsp;Search Henry')this.value='';"></td>
							
				
					<td class="search"><input type="IMAGE" src="images/gobutton.gif" border="0" width="27" height="15" style="border:0px;"></td>
				
			</tr>
		</table>
		</form>
	 
</td>
          </tr>
        </table></td>
    </tr>
    <tr> 
      <td valign="top" style="background-image:url(images/hr_topnavtile.gif); background-repeat: repeat-x; background-position: top left;"><table width="100%" border="0" cellpadding="0" cellspacing="0">
          <tr> 
            <td width="0%" valign="top"><img src="images/hr_flagmiddle.jpg"></td>
            <td width="0%" valign="top"><img src="images/hr_topnavmiddle.jpg"></td>
            <td width="100%" valign="top" align="right">
	<!-- Begin NavBar Output  -  Version:  v0.79a 09/30/2006  -->
	
		<!-- Begin NavBar Bar #1 Content Output... -->
		<table  border="0" cellspacing="0" cellpadding="0" onclick="NavBar_deleteCookie();">
	<tr class="">
		<td class="" valign="top" align="left" title=""><a href="connect_body.cfm?id=78"  onMouseOver="RestoreAll();nbMouseover('hr_signin_1_3','images/hr_signin.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('78','');" class=""><img src="images/hr_signin.jpg" border="0" alt="Sign-in to HR" id="hr_signin_1_3" name="hr_signin_1_3"></a></td>
		<td class="" valign="top" align="left" title=""><a href="connect_body.cfm?id=184"  onMouseOver="RestoreAll();nbMouseover('hr_faqs_1_4','images/hr_faqs.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('184','');" class=""><img src="images/hr_faqs.jpg" border="0" alt="Frequently Asked Questions" id="hr_faqs_1_4" name="hr_faqs_1_4"></a></td>
		<td class="" valign="top" align="left" title=""><a href="connect_home.cfm?id=29"  onMouseOver="RestoreAll();nbMouseover('hr_connecthome_1_5','images/hr_connecthome.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('29','');" class=""><img src="images/hr_connecthome.jpg" border="0" alt="H.R. Connect Home" id="hr_connecthome_1_5" name="hr_connecthome_1_5"></a></td>
		<td class="" valign="top" align="left" title=""><a href="http://www.henryfordcareers.com"  target="_blank" onMouseOver="RestoreAll();nbMouseover('hr_careers_1_6','images/hr_careers.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('129','');" class=""><img src="images/hr_careers.jpg" border="0" alt="Careers" id="hr_careers_1_6" name="hr_careers_1_6"></a></td>
	</tr>
</table>
	
		<!-- End NavBar Output -->
	 
</td>
          </tr>
        </table></td>
    </tr>
    <tr> 
      <td valign="top" style="background-image:url(images/hr_leftnavspacer.gif); background-repeat: repeat-y; background-position: top left;"><table width="100%" border="0" cellpadding="0" cellspacing="0">
          <tr> 
            <td width="0%" height="233" valign="top" style="background-image:url(images/hr_wecan.gif); background-repeat: no-repeat; background-position: bottom left;"><table width="100%" border="0" cellpadding="0" cellspacing="0">
                <tr> 
                  <td width="166" valign="top"><img src="images/hr_flag_bottom.jpg"></td>
                </tr>
                <tr> 
                  <td valign="top" align="center"><table width="100%" border="0" cellpadding="0" cellspacing="0">
				     <tr>
					   <td valign="top" align="center">
	<!-- Begin NavBar Output  -  Version:  v0.79a 09/30/2006  -->
	
		<!-- Begin NavBar Bar #2 Content Output... -->
		<table  border="0" cellspacing="0" cellpadding="0" onclick="NavBar_deleteCookie();">
	<tr>
		<td class=""  valign="top" align="center" title=""><a href="connect_body.cfm?id=39"  onMouseOver="RestoreAll();nbMouseover('hr_benefits_2_1','images/body_hr/hr_benefits.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('39','');" class=""><img src="images/body_hr/hr_benefits.jpg" border="0" alt="Benefits" id="hr_benefits_2_1" name="hr_benefits_2_1"></a></td>
	</tr>
	<tr class="">
		<td class="" colspan="2" valign="top" align="center" title=""><img src="images/leftnavspacer.gif" alt=""></td>
	</tr>
	<tr>
		<td class=""  valign="top" align="center" title=""><a href="connect_body.cfm?id=42"  onMouseOver="RestoreAll();nbMouseover('hr_ed_training_2_2','images/body_hr/hr_ed_training.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('42','');" class=""><img src="images/body_hr/hr_ed_training.jpg" border="0" alt="Learning & Development" id="hr_ed_training_2_2" name="hr_ed_training_2_2"></a></td>
	</tr>
	<tr class="">
		<td class="" colspan="2" valign="top" align="center" title=""><img src="images/leftnavspacer.gif" alt=""></td>
	</tr>
	<tr>
		<td class=""  valign="top" align="center" title=""><a href="connect_body.cfm?id=41"  onMouseOver="RestoreAll();nbMouseover('hr_worklife_2_3','images/body_hr/hr_worklife.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('41','');" class=""><img src="images/body_hr/hr_worklife.jpg" border="0" alt="Work - Life" id="hr_worklife_2_3" name="hr_worklife_2_3"></a></td>
	</tr>
	<tr class="">
		<td class="" colspan="2" valign="top" align="center" title=""><img src="images/leftnavspacer.gif" alt=""></td>
	</tr>
	<tr>
		<td class=""  valign="top" align="center" title=""><a href="connect_body.cfm?id=40"  onMouseOver="RestoreAll();nbMouseover('hr_compensation_2_4','images/body_hr/hr_compensation.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('40','');" class=""><img src="images/body_hr/hr_compensation.jpg" border="0" alt="Corporate Payroll" id="hr_compensation_2_4" name="hr_compensation_2_4"></a></td>
	</tr>
	<tr class="">
		<td class="" colspan="2" valign="top" align="center" title=""><img src="images/leftnavspacer.gif" alt=""></td>
	</tr>
	<tr>
		<td class=""  valign="top" align="center" title=""><a href="connect_body.cfm?id=131"  onMouseOver="RestoreAll();nbMouseover('hr_hrnews_2_5','images/body_hr/hr_hrnews.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('131','');" class=""><img src="images/body_hr/hr_hrnews.jpg" border="0" alt="HR News" id="hr_hrnews_2_5" name="hr_hrnews_2_5"></a></td>
	</tr>
	<tr class="">
		<td class="" colspan="2" valign="top" align="center" title=""><img src="images/leftnavspacer.gif" alt=""></td>
	</tr>
	<tr>
		<td class=""  valign="top" align="center" title=""><a href="connect_body.cfm?id=43"  onMouseOver="RestoreAll();nbMouseover('hr_contacthr_2_6','images/body_hr/hr_contacthr.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('43','');" class=""><img src="images/body_hr/hr_contacthr.jpg" border="0" alt="Contact HR" id="hr_contacthr_2_6" name="hr_contacthr_2_6"></a></td>
	</tr>
	<tr class="">
		<td class="" colspan="2" valign="top" align="center" title=""><img src="images/leftnavspacer.gif" alt=""></td>
	</tr>
	<tr>
		<td class=""  valign="top" align="center" title=""><a href="connect_body.cfm?id=44"  onMouseOver="RestoreAll();nbMouseover('hr_formspolicies_2_7','images/body_hr/hr_formspolicies.jpg','');" onMouseOut ="nbMouseoverRestore();" onClick="NavBar_setPLinkIDCookie('44','');" class=""><img src="images/body_hr/hr_formspolicies.jpg" border="0" alt="Forms & Policies" id="hr_formspolicies_2_7" name="hr_formspolicies_2_7"></a></td>
	</tr>
</table>
	
		<!-- End NavBar Output -->
	 
</td></tr></table></td>
                </tr>
              </table></td>
            <td width="100%" valign="top"><table width="100%" border="0" cellpadding="12" cellspacing="0">
                <tr> 
                  <td width="100%" height="400" valign="top"><h1>EAP Referral Forms</h1>




		
		
		








	
	




	
	
	
	
	
	
	
	
		
		
		
		
		
		
		
	


	

	
	
	
		
		
		
			
		
		
		
	
		
		
		
	
		
		
		

		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
			
	 
	 
	 
	 

	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	


	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		

	 
	 
	 
	 
	
	
	
	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	


	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	
	
	

	
	
	
	
	

	
	
	
	
	
	
	
	

	
		
	
	
	
	
	
	
		
	
	
	

			
			
			

			
	 
	 
	 
	 

	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	


	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		

	 
	 
	 
	 
	
	
	
	
	
	
	
	
	
	
	

	
	

	
	

	
	
	
	
	
	
	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	



			
	 
	 
	 
	 

	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	


	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		

	 
	 
	 
	 

	
	
	
	
	
	
	
	
		
	

	
	 
	
	
	
	
	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	
	
	
	
	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

		
	
	
	
	
	
	
	
	
	
	

	
	

	
	

	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		
	
	
		
		
	
		
	
	
		
	
	
	
		
	
	
	
	
	
	
	
	

			

			
				
			
			
			
			
			
				

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		
			

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
			
				
			
			
			

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
					
					
					
					
					

				
				
				

		

		
		
		

	
				
			
			
		

		
		
		
		
		
		
		
		
		
		

		
			
			
			
				
				
				

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		
				
					
				
			
			
			
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
		
		
		
	
	
 



 

				
	




	

	
	
	
	
	
  


	<strong>
<p align="center">
EAP- TYPES OF REFERRALS 
</p>
<p align="center">
&nbsp;
</p>
<p>
Self Referral 
</p>
</strong>
<p>
An employee or member of employee&#39;s family is seeking counseling on their own. There is no<strong> </strong>Manager/Supervisor/HR involvement. 
</p>
<strong>
<p>
Informal 
</p>
</strong>
<p>
Manager/Supervisor/HR encouraged contacting the Employee Assistance Program (EAP) for any help employee might need in addressing any problem(s) that may be affecting their recent job performance. 
</p>
<strong>
<p>
Formal 
</p>
</strong>
<p>
Manager/Supervisor/HR requires that employee be seen by EAP regarding stated problems/concerns. No disciplinary action taken at this point. 
</p>
<p>
<strong>Disciplinary Action </strong>
</p>
<p>
Manager/Supervisor/HR requires that employee be seen by EAP regarding the stated problems/concerns as part of a disciplinary process. Future disciplinary actions may occur 
</p>
<a href="http://henryfordconnect.com/connect_body.cfm?id=119">Main EAP Page</a> 

	<script type="text/javascript">loadGoogleTracker();</script>

 </td><td width="0%" valign="top">
	<!-- Begin NavBar Output  -  Version:  v0.79a 09/30/2006  -->
	
		<!-- Begin NavBar Bar #3 Content Output... -->
		<table  border="0" cellspacing="0" cellpadding="0">
	<tr>
		<td class=""  valign="top" align="left" title=""><a href="http://henryfordconnect.com/documents/HumanResources/Employee%20Health/HFHS%20Employee%20Assistance%20Self%20Referral.doc"  target="_blank" onClick="NavBar_setPLinkIDCookie('0','');" class="">Self Referral Form</a></td>
	</tr>
	<tr class="">
		<td class="" colspan="2" valign="top" align="left" title=""><img src="images/rightnavspacer.gif" alt=""></td>
	</tr>
	<tr>
		<td class=""  valign="top" align="left" title=""><a href="http://henryfordconnect.com/documents/HumanResources/Employee%20Health/HFHS%20Employee%20Assistance%20Informal%20Referral.DOC"  target="_blank" onClick="NavBar_setPLinkIDCookie('0','');" class="">Informal Referral Form</a></td>
	</tr>
	<tr class="">
		<td class="" colspan="2" valign="top" align="left" title=""><img src="images/rightnavspacer.gif" alt=""></td>
	</tr>
	<tr>
		<td class=""  valign="top" align="left" title=""><a href="http://henryfordconnect.com/documents/HumanResources/Employee%20Health/EAP%20Formal%20Referral.doc"  target="_blank" onClick="NavBar_setPLinkIDCookie('0','');" class="">Formal/Disciplinary Referral Form</a></td>
	</tr>
</table>
	
		<!-- End NavBar Output -->
	 
</td>
                </tr>
              </table></td>
          </tr>
        </table></td>
    </tr>
    <tr> 
      <td valign="top" width="100%" style="background-image:url(images/hr_footer.gif); background-repeat: repeat-x; background-position: top left;"><table width="100%" border="0" cellpadding="0" cellspacing="0">
          <tr> 
            <td width="100%" valign="top"><img src="images/hr_footer.gif"></td>
          </tr>
        </table></td>
    </tr>
    <tr> 
      <td height="20" valign="top" bgcolor="516684"><table width="100%" border="0" cellpadding="0" cellspacing="0">
          <tr> 
            <td width="100%" height="20" valign="top" align="right" style="padding: 0px 10px 0px 10px;">
	<!-- Begin NavBar Output  -  Version:  v0.79a 09/30/2006  -->
	
		<!-- Begin NavBar Bar #4 Content Output... -->
		<table  border="0" cellspacing="0" cellpadding="0" onclick="NavBar_deleteCookie();">
	<tr class="">
		<td class="" valign="top" align="right" title=""><a href="body.cfm?id=133"  onClick="NavBar_setPLinkIDCookie('133','');" class="">Copyright 2007-2008</a></td>
	</tr>
</table>
	
		<!-- End NavBar Output -->
	 
</td>
          </tr>
        </table></td>
    </tr>
  </table>
</body>
</html>