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I want a peer support partner

Thank you for your interest in having a peer support partner. Please fill in the form below and a member of the Washington TBI SOS team will be in touch.

Fields marked * are required.

First name *

Last name *

Email address *

We use this to get back to you.

Phone number

Your county *

The Washington county where you live.

How far could you travel to take part in person? *

Pick the option that fits best. Choose virtual if travel is hard.

I cannot travel / prefer virtualUp to 5 milesUp to 15 milesUp to 30 milesMore than 30 miles

Anything you would like us to know? (optional)

Leave this field blank

Washington TBI SOS is run by the Center on Brain Injury Research and Training (CBIRT) (opens in new tab) at the University of Oregon for the Washington State Department of Social and Health Services (DSHS) (opens in new tab).

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