HMS Affiliates

Affiliates 

If you would like more information about how to partner with HMS as an Affiliate, call our toll-free number or complete the following form. Once we receive your request, an EAP representative will contact you to discuss customizing a program that will meet your company's needs. 

First Name*  
Last Name*  
Company*
Address
City, State, Zip
Business Phone*
Business Fax
E-Mail Address
Years of EAP Experience*  
Credentials
Briefly describe your EAP background

*These are required fields.