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

Program Effective Date *
Program Effective Date
Client Address
Client Address
Lone Star Contact Name *
Lone Star Contact Name
Lone Star Contact Phone Number
Lone Star Contact Phone Number
Client Contact Name
Client Contact Name
Client Contact Phone Number
Client Contact Phone Number
Broker Contact Name
Broker Contact Name
(if applicable)
Plan Design (Session Model) *
Does the company have a UR vendor? If so, who is the provider?
Does the company have a Disease Management vendor? If so, who is the vendor?
Does the company administer a Health Risk Assessment Test? If so, who is the provider?
Does the company provide mental health and substance abuse (MHSA) benefits? If so, what is the company's MHSA network(s)?

Note: In addition to short-term counseling, all Lone Star 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.