CTK Employee Counseling Referral Logo

  • Employee Counseling Referral

    As part of our commitment to caring for our employees, CTK will cover one-half of the per-session cost for up to six counseling sessions.

    Step 1: Supervisor submits a referral for employee counseling. Ideally, you've had a relational conversation, and the employee is expecting this referral.

    Step 2: Employee receives a notification of referral and submits their counselor's information. At this point, they will indicate whether counselor is on the CTK recommended counselor list.

    If Yes, the referral will be submitted to Finance for disbursement of funds.

    If No, the referral will be submitted to the Care Pastor for final approval.

    Step 3: Supervisor & Employee will be notified of approval status, and counselor will be contacted to arrange payment. (NOTE: For confidentiality, counselor's will not share details of sessions unless explicitly requested & approved by employee.)

  • Tap "Next" when you're ready to complete your referral!

  • Care Pastor Review

    The Counselor selected by {EmployeeName} is not on the list of approved counselors. Please indicate your approval below. If declined, please follow up with the employee to provide alternate recommendations.

  • Employee Information

    Name: {employeeName}
    E-Mail: {employeeEmail}

    Counselor Information

    Name: {CounselorName}
    E-Mail Address: {CounselorEmail}
    Phone Number: {CounselorPhone}
    Mailing Address: {CounselorAddress}

     

  • Referral Information

     Please ensure that you have your counselor's information ready. If you need assistance selecting a counselor, visit the Recommended Counselors list on the CTK Portal at ctk.church/portal.

  • Note: You've selected a counselor that isn't on the CTK Recommended Counselor's list. This just means we don't know them yet, and we want to make sure that you're getting the best possible counsel! 

    Your referral will be submitted to the Care Pastor for approval before processing. 

  • Please read the following statement and click "Next" if you agree to the terms.

    I,    , give authorization to      , named above to bill Christ the King Church for one-half of the per session cost of my counseling sessions. I understand that I am responsible for the remainder of the cost of these sessions and all costs after the 6 sessions or the maximum spending allowance is reached. I understand that a no-show will result in stopping this benefit, and Christ the King Church will not be responsible and will not pay any further benefits. 

  • Clear

  • Personnel Information

    to be completed by supervisor
  •  - -
  • Clear

  • What's next? 

    If you're approving this counseling referral, it will be sent directly to Finance for processing after you hit "submit" below.

    If you're declining this counseling referral, the employee will be notified of the decline and prompted to reach out to you for alternative options.

    Tap "Submit" below to complete your submission!

  • What's next? 

    If your counselor is on the approved list, your referral will be submitted to Finance for processing and coordination of payment.

    If your counselor is not on the approved list, your referral will be submitted to the Care Pastor for approval, before being sent to Finance.

    Tap "Submit" below to complete your submission!

  • What's next? 

    Once you submit your referral, {employeeName} will receive an e-mail to confirm their counselor's information and complete the referral process. Once complete, it will be then be submitted to the Finance Department for processing.

    Please confirm that your employee receives this e-mail and completes it in a timely manner.

    Tap "Submit" below to complete your submission!

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