Request a Peer Visit

TLC Peer's Can Help

The Lionheart Community has over 20 people in the community who have completed peer mentoring training and have been background checked. The peers range in age, injury level and sex. The more information that is provided, the better we can match up the peers with similar life experience. Please fill out the form below to request a visit from a Lionheart Peer, we will do our best to respond within 48 hours. 

Request a Visit
Address (please provide City at a minimum)
Address (please provide City at a minimum)
City
State/Province
Zip/Postal
Health Care Facilities:
Location Options:
Sex:
Preferred Language:
Type of Visit Requested (check all that apply)

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