Online Group Interest Form
- Name* First Last
- Email* Please enter a current email address. Please call our office at (559) 224-2469 if you do not have an email address.
- Address Street Address Address Line 2 City State / Province / Region Please provide your address should we need to mail you information from NAMI Fresno.
- Zip Code* ZIP / Postal Code
- Phone*Phone Format (###) ###-####
- Are you a person living with a mental health challenge or a family member/loved one of someone who is (select one)?*I am living with mental health challengesA family member or loved one of mine is living with mental health challengesWe know that often times we can fall into both categories.