TELUS Health

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We are pleased to offer a confidential alternative way to contact our Internal EFAP services
To assist us in responding appropriately to your request please assess yourself on the following scales:
Stress Level: Low  Medium  High 
Degree of Urgency: Low  Moderate  High  Urgent 
* Do you have reason to believe there is risk of harm to yourself or anyone else at this time? Yes  No 

Please complete the information below and you will receive a confirmation e-mail that your request has been received.

Disclaimer & Email: TELUS Health is committed to the highest standards of privacy, confidentiality and data security and complies with the most stringent requirements of managing private and confidential information both federally and provincially across Canada and the United States. If you select an Online Service, the Nutritional service, the Ecounselling service, or the Fitness - LIFT service, and wish to remain anonymous, we suggest you use an email address that does not include your name.

 

Please check below your preferred method of contact by an Internal EFAP Care Co-ordinator if required:

Phone  Email 
* Required fields
 Profile
Salute:
* First Name:
* Last Name:
* Date of Birth (MM/DD/YYYY) :
Gender: Male  Female 
 
* Are you the TELUS Health employee? Yes  No 
* TELUS Health Employee Name:
* TELUS Health Employee Date of Birth (MM/DD/YYYY) :
* Your Relationship to TELUS Health Employee:
* Preferred Counselling Language: English  French 
* Country:
 
* Primary Telephone number:   Cell  Work  Home 
**Please note this will be the number given to providers for call backs when booking services.  -  ext:
Area Code - Phone number
* May we leave a message?   Yes  No
Secondary Telephone number (Optional):   Cell  Work  Home 
   -  ext:
Area Code - Phone number
May we leave a message?   Yes  No 
* Email Address:
 
* Service Requested
* Counselling 
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the lawyer may connect with you telephonically. Hours of operation are 8am-10pm Monday to Friday. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
Please indicate the area of law or a description of
the situation that prompted your request:
Please indicate the area of law or a description of
the situation that prompted your request:
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the Financial counsellor may connect with you telephonically. Hours of operation are 8am-8pm Monday to Friday Eastern time. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the Family Support Service Representative may connect with you telephonically. Hours of operation are 8am-8pm Monday to Friday Eastern time. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the Family Support Service Representative may connect with you telephonically. Hours of operation are 8am-8pm Monday to Friday Eastern time. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the Naturopathic Doctor may connect with you telephonically to set up the first appointment. Hours of operation are 8am-8pm Monday to Friday Eastern time. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
* Health and Wellness resources - Online Programs :
* Would you like to work with your Fitness Coach via:
* Address
* Can the package be left at the door or in the mailbox? Yes  No 
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the Community Referrals Service Representative may connect with you telephonically. Hours of operation are 8am-8pm Monday to Friday Eastern time. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
* Request is for:
* Please provide the first and last name of your spouse
First name Last name
* *
* Please provide the first and last name, relationship to you, and dates of birth for all those that will be attending the sessions:
First name Last name Relationship Birth date
* * * *
       
       
       
* Please provide the first and last name, relationship to you, and dates of birth for all those that will be attending the sessions:
First name Last name Relationship Birth date
* * * *
       
* Would you be comfortable working with a
* Would you be comfortable working with a counselor who works out of their home office? Yes  No 
* Preferred Days and Times for Appointments:
* Briefly, please outline your primary concern(s) that prompted this request:
You will receive an email shortly regarding the next steps. A Registered Dietician will follow up with you via telephone within two business days of the completion of your online assessment. Thank you.
Preferred location for service(s): Please provide details such as city, town or area to help us source the closest service(s) location:
 
Service Requested
* Counselling 
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the lawyer may connect with you telephonically. Hours of operation are 8am-10pm Monday to Friday. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
Please indicate the area of law or a description of
the situation that prompted your request:
Please indicate the area of law or a description of
the situation that prompted your request:
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the Financial counsellor may connect with you telephonically. Hours of operation are 8am-8pm Monday to Friday Eastern time. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the Family Support Service Representative may connect with you telephonically. Hours of operation are 8am-8pm Monday to Friday Eastern time. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the Family Support Service Representative may connect with you telephonically. Hours of operation are 8am-8pm Monday to Friday Eastern time. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the Naturopathic Doctor may connect with you telephonically to set up the first appointment. Hours of operation are 8am-8pm Monday to Friday Eastern time. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
* Health and Wellness resources - Online Programs :
* Would you like to work with your Fitness Coach via:
* Address
* Can the package be left at the door or in the mailbox? Yes  No 
Please provide three call back windows and dates three hours in length - starting 24 business hours from the current date during which the Community Referrals Service Representative may connect with you telephonically. Hours of operation are 8am-8pm Monday to Friday Eastern time. Please enter times in your time zone.
Date Start Time Finish Time
* * *
* * *
* * *
* Request is for:
* Please provide the first and last name of your spouse
First name Last name
* *
* Please provide the first and last name, relationship to you, and dates of birth for all those that will be attending the sessions:
First name Last name Relationship Birth date
* * * *
       
       
       
* Please provide the first and last name, relationship to you, and dates of birth for all those that will be attending the sessions:
First name Last name Relationship Birth date
* * * *
       
* Would you be comfortable working with a
* Would you be comfortable working with a counselor who works out of their home office? Yes  No 
* Preferred Days and Times for Appointments:
* Briefly, please outline your primary concern(s) that prompted this request:
You will receive an email shortly regarding the next steps. A Registered Dietician will follow up with you via telephone within two business days of the completion of your online assessment. Thank you.
Preferred location for service(s): Please provide details such as city, town or area to help us source the closest service(s) location:
 
* Postal code:
 
 ** If this is an emergency, and you require immediate attention, please call 1-866-565-6689 press 1 to be transferred to a counsellor.**