Forms
For Network Providers
Below are the forms you will need when participating in the RWJBarnabas Health One Source EAP program. Please refer to your Orientation Packet for further instructions.
- Retain completed clinical forms in the client's chart.
- Fill out forms completely and/or note why a section cannot be completed.
- Forms may be filled out online and submitted with one click, printed, scanned and emailed to Network1@rwjbh.com, or faxed to 732-505-3882.
Form Downloads
- W-9 IRS Form (PDF)
- Billing Log (PDF)
Provider Add/Change/Remove form
