Confidential Peer Support Request Form
To request confidential support by a trained peer supporter, or to request peer support for a colleague, please fill in and submit this form. Your information is confidential and will not be shared with anyone but your peer supporter and administrators of the WUSM Clinician Peer Support Program.
Conversations with a peer supporter are confidential and no notes are taken. However, if there is concern for your safety, it may be necessary to alert your supervisor.