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Welcome to the confidential online Physicians At Risk (PAR) program intake. PAR offers inclusive, collaborative, and trauma-informed therapeutic and peer support services for both individuals and couples. No matter what's impacting your psychological or emotional health, we're here to help. Please complete the form below, and a PAR clinician will contact you within 24 hours to schedule an appointment.

Topic *

I am a:

First Name *

Last Name *

Please provide the best phone number where we can reach you.

Phone Number *

Can we leave a voicemail at this number? *

Yes

What is the best time of day to reach you? *

Mornings

Afternoons

Evenings

Anytime

Message

OPTIONAL: Please describe your reason(s) for seeking support at this time.

If you are in crisis and in need of immediate assistance, help is available by:

calling Klinic Crisis Line at 204−786−8686 (24−7) or 1−888−322−3019 (24−7)
by calling/texting 988 for the Suicide Crisis Helpline (24−7)
going to the Crisis Response Centre at 817 Bannatyne Avenue in Winnipeg or proceed to the nearest Emergency department outside of Winnipeg.

Need help?