Peer Support - Resource Navigation Info Requests!
You can use this form to ask any one-off (or many!) questions you may about the various health, wellness and support resources both on campus or in Baltimore or to be connected with Peer Health Navigators. Feel free to skip any questions, and know that any information you provide will be kept confidential and only used to provide you with insights on navigating well-being and resources while a student at the JHUSOM. 

Remember that this is a peer support program and we are NOT licensed counselors or therapists.

You can learn more about about PHN programming at

In the case of an emergency, please call 911 or the following: 
UHS: After-Hours Medical Emergency: 410-955-4331. After-Hours Psychiatric Emergency: 410-955-1892.
JHSAP: 443-287-7000, option #1.
Sign in to Google to save your progress. Learn more
Name (not required)
What is the best email to reach you? If you prefer texting or a call, please include phone number and indicate preference. Note that this does not have to be your Hopkins email if you would prefer to chat anonymously.  *
Please list any demographic requests for the Peer Health Navigator you would OR would not like to speak with (e.g. LGBTQ+, MSTP, 2nd year student, not male, etc.)
Is there an experience you want to discuss with a Peer Health Navigator? Please check all that apply. *
Please feel free to provide more information in your own words about any needs/concerns or specific resources you need help finding. 
Is there anything else that you would like the Peer Health Navigator to know?
How did you hear about the Peer Health Navigator program? Please select all that apply. 
Are there any other ways that you would like to engage with Peer Health Navigators at JHUSOM?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy