Thank you for your interest in the 1:1 Peer Support Program. This telephone based support is delivered through trained caregiver peer mentors. Please complete the registration form below and the Peer Support Program Lead will be in touch with you within 2 business days to further explain the program and assist you in making a match with one of our trained Peer Mentors.

This is not a crisis service. If you are in crisis or require immediate assistance please call our 24/7 Ontario Caregiver Helpline (1.833.416.2273) where they can direct you to the appropriate services in your area. 

Question Title

* 1. Your Contact Information

Question Title

* 2. Who are your caring for?

Question Title

* 3. How long have you been a caregiver?

Question Title

* 4. Describe your current caregiving experience (ie. condition/diagnosis of the care recipient, what needs do they have, how you are coping)

Question Title

* 5. What do you hope to gain from this program?

Thank you for completing your registration for our 1:1 Peer Support program! You will be contacted by the Peer Support Program Lead in the coming days with details about next steps with the program. We are looking forward to connecting you with one of our Peer Mentors! 

T