Self-Report
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SUBMIT YOUR KEY SUPPORT PERSON STORY

This is an optional form that is no way tied to your loved one’s advocacy from UPHP.

Please share briefly about your experience as key support person to a participant in the Utah Professionals Health Program (UPHP). We would love to hear about the impact this program has had on you and your loved one’s quality of life.

The following are questions to help prompt your response. Questions marked  with * are required.

    Stories like yours can help others. Would you consent to allowing us to share, anonymously, in whole or in part your story on our website for educational and promotional purposes?*

    Note: All testimonial submissions with remain anonymous

    Contact Information & Hours

    Hours:

    8:00 A.M. to 4:30 P.M.
    Monday – Friday (excluding State and Federal Holidays)

    Phone:

    Program Manager: (801) 530-6291 
    Office Support Specialist: (801) 530-6428
    Email:
    uphp@utah.gov
    Fax:
    (385) 465-6074

    Office Location:

    Heber M. Wells Building
    4th Floor
    160 East 300 South
    Salt Lake City, Utah 84111

    Mailing Address:

    Utah Professionals Health Program 
    Division of Professional Licensing
    State of Utah Department of Commerce
    P.O. Box 146741
    Salt Lake City, UT 84114-6741

    © 2024 UPHP. All rights reserved.