subject_line
Hello and welcome to your Work / Life Services.
You've selected Child Care. Let's get started together!
Today's date is
+
Please Provide Your Email Address
*
Do have a case reference number?
Please know that all information will remain confidential. We will not disclose this information unless you are alluding to suicidal or homicidal ideations, child abuse or elder abuse. In these instances, we are mandated by state law to report to the proper authorities. Do you understand this privacy and policy statement?
*
I have read and understand the statement above.