NAMI UT Program Registration Form

You must be 18 years or older to register for support groups or classes with NAMI Utah at this time.
Are you 18 years or older?

NAMI Utah programs are always provided free of charge. To help us secure continued funding for these services, please answer the following confidential questions:

The information on this page is only used for statistical analysis.
How did you hear about NAMI Utah?
Are you currently receiving Medicaid benefits?
How many people live in your household?
What is your household's total annual income?

Contact Information

Please use the primary Home Address from where you will attend the program.
Name

First NameLast Name
Pronouns
Ex: she/her, he/him, they/them
Nickname
Email

Confirmation Emailexample@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which Utah county do you live in?
Choose 'Out of State' if not in Utah.
Emergency Contact Name and Phone
We need someone to contact in case you experience an emergency while attending a NAMI Utah programs event
Your contact information is strictly confidential. We will never share your information with anyone. The only exception would be an emergency in which we think you are in imminent danger.

Choose a language to continue:
Un representante de NAMI Utah se pondrá en contacto con usted para informarle sobre nuestros programas en español.

What kind of support are you looking for today?

Online Family Support Groups

These are drop-in groups offered via Zoom on Tuesday and Thursday nights at 7:00-8:30 p.m. MST. Once you are registered, you are free to attend either (or both) groups.
Family Support Group Online
In-Person Family Support Groups
LOCATIONS:
- Utah State Hospital in Provo, UT on Wednesday nights @ 7:00-8:30 p.m
- St. George Southwest Behaviorial Health Center 1st & 3rd Wednesday 7:00-8:30 p.m.
In Person Family Support Group at Utah State Hospital (Provo)
In-Person Family Support Group St George
Family Classes

Our classes are offered every couple of months, and a NAMI Utah representative will reach out with details about the next session.
- Family-to-Family: for anyone supporting a loved one of any age or relationship who is experiencing a mental health condition
- Basics: for parents or caregivers of school-aged children (18 or younger) with mental health challenges and/or neurodivergence (autism, ADHD, learning disabilities)
Online (Zoom) Family-to-Family - 8 week class
In Person Family-to-Family Class at Utah State Hospital (Provo)
Basics : 6-Week Class for Parents with Children under 18-yrs-old (Online via Zoom) - next class will start on Feb 17, 2027

Online Connection Support Groups

These programs are for adults who are looking for support for their own mental health. They are peer-led, meaning the facilitators have lived experience with mental health conditions and volunteer their time. They are drop-in groups so once you are registered, you are free to attend any (or all) groups.
- Mondays at 7:00-8:30 PM
- Wednesdays at 7:00-8:30 PM
- Fridays at 7:00-8:30 PM
- Saturdays at 10:30-12:00 PM
Connection Support Groups Online
In-Person Connection Support Group

These are hosted weekly at the NAMI Utah main office located at 3269 S Main St #230 Salt Lake City, UT 84115
- Mondays at 7:00-8:30 PM
In-Person Connection Support Group (Salt Lake)
Online Peer-to-Peer Class

An 8-week educational course for adults living with mental health conditions to learn about recovery, build coping skills, and connect with others. A NAMI Utah representative will contact you with information about the next class
Peer-to-Peer Class Online

Entiendo que los programas de NAMI son confidenciales. Esta confidencialidad solo se romperá si algún miembro de NAMI considera que corro peligro de hacerme daño a mí mismo o a otra persona. En ese caso, se pondrán en contacto con mi contacto de emergencia y/o con la línea de atención de crisis. Comprendo que esto es para protegerme y garantizar mi seguridad.
Initial
Doy permiso a NAMI Utah para que me envíe correos electrónicos. Puedo cancelar mi suscripción en cualquier momento.
Initial
I agree to follow these guidelines:•Respect: I will treat others with respect and allow space for different experiences, perspectives, and identities. I will not engage in harassment, discrimination, or personal attacks.•Confidentiality: I will keep what other participants share in the group private, and I will not record or screenshot the group. I will join online groups from a private place where others cannot hear or see the group.•Limits of confidentiality: I understand that what is shared in the group will remain confidential except in rare circumstances when facilitators are required by law to report certain concerns, including suspected abuse, neglect, or exploitation of a child or vulnerable adult, or serious safety concerns.By submitting this registration, I acknowledge that I have read and agree to follow these guidelines.
Initial
I agree to follow the group guidelines:

•Respect: I will treat others with respect and allow space for different experiences, perspectives, and identities. I will not engage in harassment, discrimination, or personal attacks.
•Confidentiality: I will keep what other participants share in the group private, and I will not record or screenshot the group. I will join online groups from a private place where others cannot hear or see the group.
•Limits of confidentiality: I understand that what is shared in the group will remain confidential except in rare circumstances when facilitators are required by law to report certain concerns, including suspected abuse, neglect, or exploitation of a child or vulnerable adult, or serious safety concerns.
I acknowledge that I have read and agree to follow these guidelines
Initial
I give NAMI Utah permission to send me emails. I can opt out any time.
Initial
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

You must be 18 years or older to register for support groups or classes with NAMI Utah at this time.

NAMI Utah programs are always provided free of charge. To help us secure continued funding for these services, please answer the following confidential questions:

Contact Information

Your contact information is strictly confidential. We will never share your information with anyone. The only exception would be an emergency in which we think you are in imminent danger.

Un representante de NAMI Utah se pondrá en contacto con usted para informarle sobre nuestros programas en español.

Online Family Support Groups

In-Person Family Support Groups

Family Classes

Online Connection Support Groups

In-Person Connection Support Group

Online Peer-to-Peer Class