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  UT Home -> Office of the Dean of Students -> Student Emergency Services -> Interpersonal Violence Peer Support Appointment Request Form

Interpersonal Violence Peer Support Appointment Request Form

By submitting this form, you are requesting a confidential appointment with an Interpersonal Violence Peer Supporter. We will respond to your appointment request within 1-business day. You can also email us directly at ivps@austin.utexas.edu or call (512) 471-6147 to request an appointment.

For additional information on our role and what to expect during your first appointment, please read the "Interpersonal Violence Peer Support: What to Expect" pdf.

* indicates a required field.

Have you previously met with an Interpersonal Violence Peer Supporter?

Please list a range of times you are available, if possible (e.g. Tuesday, 9/12 from 12pm-2:30pm or Wednesday, 9/13 from 5pm-8pm). Peer Supporters are available to meet Monday-Thursday, 12pm-8pm and Friday, 12pm-4pm.

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