Request for Peer Support
Peer Support is a unique relationship between two or more individuals with similar or shared experience who come together to support one another. The peer supporter will utilize learning from their own recovery experiences to support you in navigating your own journey. A peer support session will take place in a safe, supportive space where you are encouraged to take the lead on what the session will look like. A peer supporter will support you in identifying your needs, wants, goals and offer support and resources along the way. Peer support is not the same as counselling/therapy but can be an important step in addressing and discussing your mental health concerns.
Name
First Name
Last Name
Pronouns
Age
Email
example@example.com
Phone Number
Please enter a valid phone number.
What is your availability?
Do you have any accessibility needs you'd like to tell us about?
Can we leave a message at this phone number?
Yes
No
*Optional* Please use this space to tell us anything you feel is important. This could be a little about you/what you are experiencing, goals for peer support, or other resources you may be looking for.
Submit
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