Provider Inquiry

Thank you for your inquiry. An Affiliate Provider Coordinator will reach out to you within 1 business day. Disclaimer: Please DO NOT provide any client information. This is NOT a secure messaging platform. This page is for provider relation inquiries ONLY. For all Client Inquiries, call 1-800-448-8326

Name(Required)

First Last

Business Name(Required)

Email(Required)

Phone(Required)

Inquiry(Required)

Would you like to contacted by phone or email?(Required)

Partner with the Ulliance EAP!

Partnering with Ulliance is an easy way to get new referrals, no need to market yourself to get new clients.