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 Employee Assistance Services
With you every step of the way.

Life Management Associates
1848 Charter Lane
Lancaster, PA  17601
717.394.6688 / 800.327.7770
717.394.6804 (Fax)
info@LMA-EAP.com

REQUEST FOR EAP ESTIMATE

If you would like an estimate for an EAP at your company, please complete this form and press the submit button at the end of the form.  An EAS Associate will respond to your request.

Areas of Most Interest for your Company

 

 

 
Employee/Family Confidential Counseling
Management Training on Making EAP Referrals
On-Site Crisis Response
Substance Abuse/Return to Work Assessment
Violence Prevention Programs
Employee Workshops (Resilience Building, Caregiving, etc.)
Eldercare/Childcare Assistance
Other (please specify)
Company Name
# of Employees -
Full-Time/Part-Time		 (Full-Time)
 (Part-Time)
Locations
(State & Town)
Your Name
Title
Email
Phone
Additional comments