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Peer Support Application | THE SEEDS LA

Thank you for your interest in peer support with THE SEEDS LA. I review every application personally and will follow up with you by email.

Please note: Peer support is not a substitute for therapy, medical care, or crisis services. If you are in crisis or need immediate help, call or text 988 (Suicide & Crisis Lifeline) or call 911 in an emergency.

Full name

*

Email

*

Phone number

*

Which service are you applying for?

*

A

Individual Peer Support Session

B

6-Week Peer Support Program

C

Community Peer Support Circle

D

Not sure yet, I'd like guidance

How would you prefer to meet?

*

A

Video call

B

Phone call

What times generally work best for you?

*

Weekday mornings

Weekday afternoons

Weekday evenings

Weekends

What would you like support with? A sentence or two is enough.

*

How did you hear about THE SEEDS LA?

*

I understand that peer support is not therapy, medical care, or crisis care.

*

I understand and agree