Mental Health Peer Story Archive Consent Form
Submit your story and provide consent for inclusion in the peer archive. Please review the consent information and complete all required fields.
Contributor Full Name
*
First Name
Last Name
Email Address
*
example@example.com
How would you like your story to be attributed if published?
*
First name only
Anonymous
Other (please specify)
Please share your mental health story below. You may include experiences, insights, or support strategies that may help others.
*
Select your role (optional)
Please Select
Person with lived experience
Family member/supporter
Mental health professional
Other
By signing below, you acknowledge that you have read and understood the consent information and agree to have your story included in the Mental Health Peer Story Archive.
*
Submit Consent and Story
Submit Consent and Story
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