Please complete the form below to notify CuraLinc Healthcare of a new 44North client. Your CuraLinc Client Relationship Manager will send a confirmation of receipt within two business days.

Program Effective Date *
Program Effective Date
Client Contact Address
Client Contact Address
Client Contact Name *
Client Contact Name
Client Contact Phone Number *
Client Contact Phone Number
Broker Contact Name
Broker Contact Name
Broker Phone Number
Broker Phone Number
PLAN DESIGN
Included or Not Included?
Included or Not Included
If Included, Model Type?
Included or Not Included?
If Included, Model Type?

Note: In addition to short-term counseling, all 44North models include free legal and financial consultation, expert dependent care referrals, organizational consultation, video counseling and a technology suite (web platform and mobile app) that can be tailored at a group, client or partner level. All programs also include access to worksite service components, such as critical incident response services and training.