Get Referral Texas Tech Form

Filling out the Referral Texas Tech Form is an important step in connecting employees to the Employee Assistance Program. This guide provides a structured approach to ensure that users fill out the form correctly and effectively, facilitating appropriate assistance.

Follow the steps to complete the Referral Texas Tech Form online.

1. Click 'Get Form' button to obtain the form and open it for editing.
2. Begin by providing the employee’s name and referral date in the designated fields. This information is essential for identifying the employee being referred.
3. Fill out the employer's name and the department, if applicable. Enter the employee's phone number and the referring supervisor's name, along with their title.
4. Provide the referring supervisor's phone number, indicating whether they prefer confidential voice mail. Optionally, include the supervisor's email address.
5. In the 'Reason for Referral' section, check all boxes that apply. Provide insights into job performance issues, attendance problems, substance abuse, behavioral concerns, or violence issues.
6. If applicable, attach any additional comments or supporting documentation detailing the concerns related to the referral.
7. Answer the questions regarding supervisor performance goals, indicating if the issues have been discussed with the employee and outlining potential consequences if performance does not improve.
8. The supervisor should specify how the employee's improvement will be measured and the timeframe given for making the desired changes.
9. Have the employee read the signature section. They must affirm their understanding of being referred to the Employee Assistance Program by signing and dating the form.
10. Once the form is complete, the supervisor can save the changes, download, print, or share the form as necessary.

Complete your Referral Texas Tech Form online today to ensure the best support for your employees.