If your organisation has partnered with Converge International as your EAP provider, this form can be used to request an EAP appointment. Your request will be responded to within the next business day.

If you need immediate support, or would like to speak to someone immediately, please call 1300 687 327.

Please contact me to make an appointment time by:
Please enter the employer/membership organisation through
whom you are eligible for the EAP service -
This is for office use only - your details will not
be forwarded to your employer.
Please enter your preferred location or locations for your EAP appointment
Please Select
Please select what type of appointment you would like?