Centre Labelle Centre - Service Request

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Intervention Services
Submit a service request

First and last name

Phone number

Select the statement that best suits you:

My employer is a member of Centre Labelle Centre’s Employee and family Assistance Program ( EFAP)

A family member’s employer is a member of the Centre Labelle’s Employee and Family Assistance Program (EFAP)

I want to make a request for private services

I am a student at l'Université de Hearst

You prefer to be contacted by:

phone

In which language(s) are you comfortable receiving your services?

French

English

If you or a family member’s employer is a member of the Employee and Family Assistance Program, who is that employer?

You wish to receive your services:

by Zoom

by phone

in person (we only travel to regions where we have offices: Hearst, Kapuskasing, Cochrane and Timmins)

If you or a family member’s employer is a member of the Employee and Family Assistance Program, what is your relationship to the member employee?

myself

spouse

child

Reason for reference / Other comments

Thank you for contacting the Labelle Centre.

We will respond to your message within two business days.

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