Request A Peer Match

Mesothelioma Peer-to-Peer Support Registration — for patients, caregivers, family members, and legacy keepers.

Registration Form

Please complete the form below so we can learn a little about you and the kind of peer support that may be most helpful. A program representative will review your request and follow up using your preferred contact method.

Prefer to email us directly?

Email [email protected] with the subject line “Peer Support Program Registration.” Please include your name, role, preferred contact method, and a brief description of the support you are looking for.

Peer Match Form

Contact Information

Help Us Match You

In Your Own Words

Consent & Privacy

Privacy


By submitting this form, you understand that Unbreakable Journeys may contact you about your peer support request. Your information will be used to review your request, communicate with you, and, with your permission, help make an appropriate peer connection. Unbreakable Journeys will not sell your personal information.

 

Program Boundaries


Peer support is not medical care, legal advice, financial advice, mental health counseling, or crisis support. Peer supporters share lived experience and emotional support only. Please contact your healthcare team, attorney, financial professional, mental health provider, emergency services, or a crisis resource when professional help is needed.