GTE WORKPLACE WELLNESS SUPPORT

Non-Clinical Bridge Support & Participation Verification

Support, resource navigation, community connection, and factual participation records while participants seek or wait for appropriate professional or licensed assistance.

Purpose & Boundaries

GTE Healing & Growth Publishing is a non-clinical wellness, education, advocacy, and resource-navigation organization. GTE may support participants while professional assistance is pending, but GTE does not diagnose, treat, determine medical necessity, certify disability, decide whether a person is unable to work, or clear a person to return to work.

Participation verification is provided at no additional charge. It confirms only eligible GTE participation recorded by GTE and does not guarantee that an employer will excuse an absence or approve leave.

PARTICIPANT INTAKE

Request Non-Clinical Wellness Support

Use this form to tell GTE what kind of support or resource connection you are seeking.

Participant / Employee Name Email Phone Number Employer / Organization Name Current Position / Job Title Employee ID Optional — use only if needed to identify you with your employer. What type of GTE support are you requesting? Reason for Needing Mental Health / Wellness Support

Optional Employer Verification Authorization

Complete this section only if you want GTE to be able to respond to a verification request from the employer named below. You may revoke this authorization in writing before GTE makes the disclosure.

Employer / HR Contact NameEmployer / HR Email

If there is immediate danger or a mental-health emergency, do not use this form. Use the crisis and emergency resources listed in the GTE Wellness Resource Center.

EMPLOYER / HR VERIFICATION

Verify GTE Participation Documentation

This form allows an employer or HR representative to request authentication or limited verification of GTE participation documentation.

Employer Notice

Submitting this form does not authorize disclosure of the employee's private wellness information. GTE will verify only information within an appropriate participant authorization or other lawful basis. GTE will not provide diagnoses, reasons for seeking support, medical-necessity opinions, work-capacity opinions, return-to-work clearance, or clinical records.

Employer / Organization NameHR / Supervisor Representative NameBusiness EmailBusiness Phone Employee NameEmployee Email Work or contact email, if available.Employee Phone Number If available and appropriate for identification.Current Position / Job TitleEmployee ID Optional. GTE Verification / Reference Number If shown on the document presented to you. What are you asking GTE to verify? Additional Verification Details

SUPPORT CIRCLES & CONTINUITY

A Stable Record of Community Wellness Participation

Participants may choose to join a GTE Support Circle for ongoing non-clinical community wellness, peer support, education, planning, and accountability. When attendance is recorded, it can establish an objective history of participation in GTE wellness services and resources. That history is not a clinical treatment record and does not prove a diagnosis, disability, medical necessity, or inability to work.

Explore Support Circles Professional & Crisis Resources