Florida Peer Network, Inc. An independent organization of and for people who are recovering from a psychiatric disability. Click here to skip to the content.

Application for Membership

Please use the form below to apply for
membership in the Florida Peer Network

As a current or former recipient of mental health services, I agree with the mission of the Florida Peer Network to promote recovery, quality of life, advocacy, education, mutual support, peer directed services, and participation in mental health policy design for persons with a psychiatric disability in the state of Florida. There is no fee for membership at this time.

If you prefer, you may contact us at 877-352-7337 to request that a paper application be mailed to you, or simply download one from here, print it, fill it out, and mail it back to the address on the form (Adobe PDF, 190k -- to view PDF files, you need the Adobe Reader).

Name
Address
Contact Information
District
Please select which district you
live in. If you are unsure,
you can find out here
(link opens in a new window).
Areas of Interest
All members are encouraged to participate in the activities
of the Florida Peer Network. Please let us know which areas
you are most interested in:
Type of Membership
Please select from the following membership types. If you
select a paid membership, you will be billed for the
appropriate amount. Voting Memberships are for individual
consumers, survivors, and ex-patients. Non-Voting
Memberships are for non-consumersupporters, organizations
and providers.

 

To view the PDF files on the site, you need Adobe Acrobat Reader.

Florida Peer Network, Inc., 13301 Bruce B. Downs Blvd., MHC 2505, Tampa, Florida 33612
Phone: 877-FLA PEER (877-352-7337) or 813-974-2851
Fax: 813-974-6411
Email: info@floridapeernetwork.org

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