If you are experiencing suicidal thoughts, homicidal thoughts, or domestic violence, DO NOT complete this form. Please contact your Assistance Program.
Please note: While your organization may offer specific programming that offers financial funding, AllOne Health Employee Assistance Programs do not provide money for financial hardships or help with household expenses. However, our financial counselors are happy to help you by providing resources within your community that may be able to assist you with any financial hardship need.
ASSISTANCE PROGRAM STATEMENT OF UNDERSTANDING AND AGREEMENT ON CONFIDENTIALITY: