Family-to-Family Enrollment
**FAMILY MEMBERS ONLY**

The NAMI Family-To-Family Education Program is appropriate for parents, siblings, and significant others of person with a severe and persistent mental illness. Taught by two trained teachers, NAMI Orange County provides an intensive twelve-week program for families to teach them the knowledge and required skills to cope with their loved ones affected by mental illness, facilitate the treatment process, and contribute to the return to health. Classes are no cost.

Please enter the following information in all of the boxes below.
We will email confirmation of enrollment in the Family-to-Family 12 week Course

Start Date of Classes:

February 21, 2019 (Thursdays) at 6:30-9:00pm Hoag Center for Healthy Living

For more information, call or email: Berena Samayoa, or Melissa Pereyra

Berena Samayoa
Program Coordinator
(714) 544-8488 Ext.108
Email: bsamayoa@namioc.org

Melissa Pereyra
Program Coordinator
(714) 544-8488 Ext.112
Email: mpereyra@namioc.org


**If your loved one with a mental illness is a minor please enroll in a Basics Course (6 weeks)

Which class would you like to enroll in? *
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Address *
Your answer
City *
Zip code *
Your answer
Relative(s) with a mental illness [Please check all that apply] *
Required
Condition of Relative(s) *
Required
Living Arrangements *
Required
Is your loved one with a mental illness prescribed medication? *
If yes, how consistent is medication taken?
How did you find out about Family-to-Family? *
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