310 West 14th North Street, NY
(+1) 88 700 600

Talk to a Peer

Fill in the request form bellow

to have a confidential conversation with a trained peer who will listen to you and be there for you.

I would like to talk to a Peer

    How shall we address you (it does not have to be your real name)? *

    How soon would you like us to contact you? *

    * The answer will help us to allocate resources and duly respond to your level of urgency.

    Do you have any preference regarding Peer assigned to you gender?

    * The answer will help us provide you with the type of support you consider to be the most comfortable.

    Please select your organization: *

    * The answer will help us meet your preference concerning the Peer’s organization.

    Please enter the phone number and email address we should use to get in touch with you. Only the Peer volunteer and the program manager will see them, and we will not use them for any other purposes. *


    Privacy policy and Terms and conditions

    The consent may be withdrawn at any time by submitting a request by e-mail address [email protected]. The withdrawal of consent shall not affect the lawfulness of processing based on consent before its withdrawal.