Sand Creek

EAP Providers

Welcome! This page of the website is dedicated to the wonderful professionals all across the country (and beyond) who serve our clients and customers. We’ve added information that is frequently requested. Please let us know if there is anything else we can include on this page to better serve you.

Provider GuideThe Provider Guide contains information relevant to our providers, along with FAQ and instructions on how to fill out an and submit an authorization form for reimbursement.

Sand Creek Authorization FormWe currently track by the client’s name OR an authorization number printed on our populated billing forms. Either or both tracking information should be provided.

HIPAA Notice of Privacy Practices and Statement of UnderstandingA combined form to offer clients to have on file to comply to HIPAA regulations. You can use your own or use this form.

Updating Office InformationPlease complete and return if your office information has changed, or you would like to add additional office locations to your existing practice. The office information form is a fillable and savable pdf form.

Adding A New ClinicianTo add another clinician to your practice, please complete the application and return along with copies of their license, liability insurance, and resume. The adding a new clinician form is a fillable and savable pdf form.