Youth Peer Bridger Referral Form

Please fill out the questionnaire below to the best of your ability. The information you provide will help us to determine how our program may be helpful to you. There are no wrong answers.

Our Mission is to empower youth to navigate life transitions with confidence by providing strength-based peer support grounded in lived experience, hope, and self-determination.

What is a Youth Peer Bridger? A Youth Peer Bridger is a person with lived experience and specialized training who offers 1:1 support, connection to community resources, goal setting, and encouragement – we will be there for you as you take the next step on your personal recovery and wellness journey.

  • No cost to participate
  • 1:1 peer support
  • For young people ages 14-17
  • In person, mobile and phone-based support available
  • Self-referral accepted
  • Call service available 24/7
  • No diagnosis or previous treatment required
  • No DCF involvement require

If you have questions, please email [email protected] or call (888) 996-9667

Complete the form below, download the referral form [PDF] or text “INSPIRE” to 51555

* Please refrain from including sensitive or confidential material (i.e. protected health information)

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