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C&FS Employee Assistance Program

Online Request for Services Form


Please be aware, this form is not for emergency use. If you need an immediate response due to an emergency, please call 911. If you are in need of immediate assistance from a mental health counselor, please call the main EAP number 716-681-4300 or 1-800-888-4162, choose 2 and you will be connected directly.


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Caller Information
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Please tell us a little more about yourself
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Assessment
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