Book an Appointment

 

Request an Appointment with CrossTie EAP

Please complete the form below to request an appointment. Requests will be processed the following business day.

If you require immediate attention please contact our Freephone 07056517470

Information you provide remains completely confidential and is subject to our Privacy Policy.


Are you at risk of hurting yourself or others?

Do you have any concerns for your safety at work or
at home?

Do you have concerns about relationship violence?

Preferred Method Of Contact

Request Type

What day of the week best suits you for support services?

Any
Monday
Tuesday
Wednesday
Thursday
Friday
Weekend/afterHours

What Time Of the day Best Suit You?

What is the nature of your enquiry?

Preferred Mode Of Support