NAMI Long Beach Virtual Support Groups

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please provide your contact information to receive details for joining virtual support groups.

NAMI LB Support Groups offer support in a confidential setting. By submitting this form, you are agreeing to respect the confidentiality of all participants.

First Name

Last Name

Email address

Contact Number

Zip Code *

Please select all that apply *

I am a peer

I am a family member of a loved one with a mental health condition

Required

I am interested to join *

Family Support Group (for family members)

Connections (for Peers)

Faithnet (a faith-based support group for peers and family members)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms