Peer-to-Peer Education Program Interest Form

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Please complete the interest form below. One of our Peer-to-Peer facilitators will contact you to finalize your registration.

NAMI Peer-to-Peer is a free, eight-session educational program for adults with mental health conditions who are looking to better understand themselves and their recovery. Taught by trained leaders with lived experience, this program includes activities, discussions and informative videos. It does not include recommendations for treatment approaches.

More Information can be found at this link:

Peer-to-Peer | NAMI MAIN LINE PA

Email *

This program is for individuals who live with mental health conditions. Do you have a mental health condition?

Yes

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Name:

Phone number:

Email:

Do you prefer in-person or virtual? (Please select one or both)

Virtual

In-person

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Home Address:

City:

State:

Zip:

Please tell us more about yourself and why you are interested in taking the Peer-to-Peer class.

How did you find out about the class?

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Would you like to be added to our newsletter?

Yes

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A copy of your responses will be emailed to the address you provided.

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