Samaritan Health Plans EAP Sign Up

Employee Assistance Program Set Up

This form is intended for Samaritan Health Plans employees who wish to sign up a new EAP client. If you found this form by mistake or need assistance with signing up a new group please email samhealthplanseap@canopywell.com or call 800-433-2320.

Samaritan Health Plans EAP Set Up

Your Email Address

General Information

First Name

M.I.

Last Name

Please Tell Us About The Group

Company Name

Number of Employees

Desired Start Date

EAP Plan Options

Platform EAP Enhanced EAP Add Enlight

Please Tell Us About The Group

Company Address

Company Primary Contact

Company Contact Email

Company Contact Phone

Please share any additional important information

For more information or if you have questions please email samhealthplanseap@cascadecenters.com , call 800-433-2320 or text 503-850-7721.