Peer Support for a Colleague
To refer a colleague to the Peer Support Program, please fill out the form below. The information you share with us will be kept confidential – only viewable by the Peer Supporter and program administrator for the purpose of facilitating a match. The Peer Supporter will reach out to your colleague as soon as possible, generally within 3-4 business days. Please ensure you have your colleague’s permission prior to filling out the form. If you have any questions, please contact
Peer Support Resources (for peer supporters only – password protected)
We extend our sincere appreciation to the to the Physician Health Program (PHP) and the Joint Collaborative Committee for their invaluable support