Information Request


Can We Be of Further Assistance?

 

Individuals/Families

If you would like further information specific to your individual or family needs, please call our office at 403.269.9600 or toll-free at 1.877.269.9666, Monday to Friday, 8:30am to 4:30pm.

Corporations

If you would like further information specific to your company's needs, please complete the following form and we'll contact you. All information is optional and kept strictly confidential.
If you would like assistance to determine whether Janus Associates' services would be covered under your company plan, simply fax or e-mail the benefits information and we'll review the material and respond.

 

First Name:
Last Name:
Company Name:
Address:
Telephone: ( )
Fax: ( )
E-mail:
Position and Department in Company:

Are you considering offering psychological (EAP) services to your employees?

Yes No

How many employees would be eligible?

Does your company currently offer extended health benefits to employees?

Yes No

Is counselling or psychological service offered under the plan?

Yes No