Request a Referral

Request a Referral

Welcome to First Choice Health EAP’s online referral request tool. Please fill out the information below, acknowledge EAP polices and submit your request. Once submitted, a representative will reach out to you in 2-3 days with your referral information. These referrals are monitored Monday – Friday from 8:00am-5:00pm.

Contact Information

First Choice Health will use this information to reach you with questions or updates. A provider will call you within 48 business hours to schedule the first appointment. If you have not heard from a provider, please call us at 1-800-777-4114.

Please note online requests are monitored Monday – Friday 8am-5pm PST. If you are experiencing a crisis or need support outside of these hours call 1-800-777-4114.

Contact & Eligibility

You must select Yes for Leave a Message for either the primary phone or secondary phone.

Referral Information and Preferences

First Choice Health strives to match all client requests but cannot guarantee all requests. Please note that our criteria is to match to a counselor within 15 miles or 30 minutes with a first appointment available within two weeks. Scheduling delays may result due to specific requests, limited availability or popular timeslot requests such as evenings. If you are in crisis, please call us at 1-800-777-4114 for immediate service.

Category of Problem missing or too many checked items

By submitting this request, you acknowledge that FCH EAP or an EAP provider will contact you to schedule an appointment. Additionally, you acknowledge that late-cancellations & no-shows count against my available sessions. You are eligible for a re-referral if requested after the first session but before scheduling a second.