An Exact Replica of a Figment of My Imagination

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Your Testimonial:

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Program Details:
The Griffin Cares Peer Mentor Program is open to bereaved parents who have lived with loss for at least one year and feel that they are in a place in their grief journey where they can support someone else. Birthing parents and non-birthing partners are welcome to participate. All mentors must complete a training program and meet with our Peer Mentor Team prior to taking on a mentee. Ongoing support for mentors is provided.

Preferred Contact Method:

The following information will be used to match you with your mentee:

Term types

Mentor language

I am available to mentor someone in another language

Loss experience: (please select all you would like to share)

Term types

Baby’s Birthday:

Do you have other living children or rainbow babies?

Please include name(s) and dates of birth

If you would like to share any additional information that could help with matching, please let us know.

Thank you for sharing your story to make a difference!

Program Details:

Support services provided by Griffin Cares Foundation connect baby loss families with fellow peers for shared support and community. They are not a replacement for professional therapy or medical care. This form serves as your registration to participate in all Griffin Cares support programs and only needs to be completed one time. Once you submit your registration, the Griffin Cares Support Team will reach out to provide more information and answer any questions. Additional program details are available in our FAQs.

How can we help?

Help options

Join a Support Group Connect with a Peer Mentor

Contact Information (Birthing Parent)

Preferred Contact Method

PreferredTerm

Email Phone Text

Preferred Term

Loss Mom Birthing Parent Other

Contact Information (Partner)

Preferred Contact Method

PreferredContact

Email Phone Text

PreferredTerm

Loss Dad Partner Other

The following information will help us provide you with the best support:

Loss options

Miscarriage Stillbirth Infant Death or SIDS

Baby’s Birthday:

Areas of Interest (check all that apply):

Areas of Interest

An Exact Replica of a Figment of My Imagination

Testimonial:

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