NAMI-NYC Family Match Interest Form

Our trained volunteers offer lived experience and emotional support in mental health conditions. Our matches connect by phone over 3 months, twice per month for 30-60 minutes each. Please share some information so we may serve you appropriately in one-to-one support.
Contact information

About you

About your ill relative

How did you hear about us?

Request for Demographic Information

This information helps us get funding to keep our programs FREE for everyone. This information also helps us develop new programs that serve all community members. Your responses are confidential.

Please enter first 5 digits only