Phone: 1-800-222-9691 | Stand By Status (SBS) Available 24/7/365 
DEA Employee Assistance Program Forms
#2 Statement of Understanding Blank
#3b Area Clinician Multi-Use Service Receipt (3-28)
#5 Consent for Release of Confidential Information
#8 Clinician Self Referral Disclosure Form
#9 Traumatic Incident Report Form
#11 Authorization to Extend Sessions
#14 Consultation Service Receipt