SELF-REPORT

The information you provide is confidential in that UPHP will not share your name or any details you have provided with any other person or entity. Exceptions to confidentiality are outlined here. Learn more about confidentiality here. The information you provide on this form will only be seen and accessed by UPHP staff.

    Our Services

    Education & Outreach

    I would like to schedule a presentation.

    Confidential Monitoring & Advocacy

    I would like to learn more.

    Consultation & Support

    I am looking for support or I am concerned about someone and need some information.

    Wellness Resources & Referrals

    I am looking for resources to help with substance use, mental health or other life stressors.