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Become A Peer Visitor

At Loma Linda University Health PossAbilities we believe that the best person to help a patient growing
through a crisis is someone who has traveled that journey before.
That is why we have a Peer Visiting Program - to help those who need a little encouragement.
A peer visitor can be anyone with a permanent physical disability who
is willing to give of their time to visit another person in need.

Visitors need to successfully complete the onboarding process and background check through
Loma Linda University Health Volunteer Services as well as the mentoring program with PossAbilities.

Would you like to become a peer visitor?
Fill out the application below.

 

Peer Visitor Application

"*" indicates required fields

Applicant Information

Name
Address

Membership Information

How long have you been a PossAbilities member?
Peer Visiting Experience
Program Involvement

Availability

Days*
Times

Tell Us About Yourself

The main purpose in visiting patients is to provide them with hope and encouragement. If you were to share your life’s journey related to your disability what would your story be?
What words of encouragement would you give a patient during a peer visit?

Provide 2 Character References

Name
Address
Name
Address

Wavier and Agreement

Consent*
Name
Under penalty of perjury, I herewith affirm that my electronic signature, and all future electronic signatures, were signed by myself with full knowledge and consent and am legally bound to these terms and conditions