↓ Skip to Main Content
CALL OUR HELPLINE- 212-684-3264
• learn more
Help
Main Navigation
Menu
Find Support
If You’re a Family Member or Friend
If You’re Living With A Mental Health Condition
If You’re a Company/Business
If You’re a School
If You’re a Provider
Calendar
Classes
Family Match – On the Phone
Support Groups
Contact Our Helpline
Get Involved
Advocacy
Careers
Education Events
Membership
Research Studies
Volunteer
Ways To Give
Young Professionals
2022 TCS New York City Marathon
Request a Speaker
Ending The Silence
In Our Own Voice
Mental Health 101
NAMI-NYC Overview
Workplace Mental Health
Who We Are
Mission & Values
NAMI-NYC Changes Lives
2021 Impact Report
Advisory Board
Board of Directors
Partners
Staff
DONATE
Search for:
Search Button
RR test
RR test
First Name
Last Name
Phone
Email
NYC Well CRN:
Type of Relationship to Mental Illness:
Self (This person has MI)
Family Member or Friend
Professional
N/A or None
Best Time to Call:
Morning
Afternoon
Early Evening
Preferred Language:
–None–
English
Spanish
Chinese (Mandorin, Cantonese)
Russian
Hindi
Portuguese
Bengali
Other
Age of Individual Referred:
Provider First Name:
Provider Last Name:
Provider Organization:
Provider Title:
Provider Phone:
Provider Email:
Date of Referral:
Program of Interest:
Education Classes
Support Groups
Mentor Match
Basic Information about NAMI-NYC
Reason for Referral/Comments:
Electronic Signature:
Help