Welcome, T.E.A.M. Client Companies! > Forms to Assist in Making Referrals to T.E.A.M.  
Making the decision to formally refer an employee to T.E.A.M.
can be a daunting responsibility. To support you in this undertaking,
T.E.A.M. has several forms that will assist you with the referral
process. These forms are provided in a format that will allow you
to print off a copy that retains its presentation integrity. In
order to access these forms it is necessary that you utilize Adobe
Acrobat Reader. If you do not have Acrobat Reader installed on
your computer, please click here to download this software at no charge. When you are ready
to view a form, click on its corresponding link below.
Formal
Referral Paperwork
This three page document encompasses the paperwork that you will give the employee
to formally refer him or her to T.E.A.M., along with the Client Information
Release Authorization that will allow T.E.A.M. to provide you feedback about
the employee’s involvement in counseling. The employee’s signature
is required on both parts of this document to activate the referral process.
Post-Formal
Referral Agreement
Upon conclusion of the employee’s involvement in the formal referral
process, T.E.A.M. recommends that the employee be asked to sign a statement
agreeing that he or she has received the requisite assistance through the EAP.
Fitness
For Duty Checklist
At times it may be difficult to determine what factors should be present in
order to question an employee’s fitness for duty. This two page form
will assist you in objectively identifying characteristic appearances and behaviors
that warrant questioning an employee’s duty fitness.
List
of Red Flags For Potentially Violent Employees
This FBI list of characteristics and pre-incident behaviors of potentially
violent employees can guide you in recognizing when the referral of an employee
to T.E.A.M. is a prudent step to take to ensure the safety of your organization.
For a more in-depth discussion of these referral tools, please click here to link to an overview of the formal referral process. |