Contact request for a peer parent

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1. Details
2. Confirmation
3. Ready

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Peer parent support is available for:

parents of children
parents of adolescents
parents of adult children
grandparents
self-symptomatic adults for parenting

Fill out the form below and the peer parent will contact you by email to schedule a calling time. The conversation with the peer parent takes place over the phone.

Don't be left alone - Empower yourself by peerage!

Fields marked with an asterisk (*) are required to complete the form.

First name *

Last name *

E-mail address *

The email address is not valid

Mobile phone number *

Place of residence *

I primarily hope for peer support: *

Parent of a child (under 13 years) diagnosed with ADHD

Parent of an adolescent (13-18 years) diagnosed with ADHD

Parent of an adult child (over 18 years) diagnosed with ADHD

Grandparent of a child/adolescent diagnosed with ADHD

parenthood also as a symptomatic parent

Year of birth of a child diagnosed with ADHD *

The type of ADHD in a child *

Inattentive type

Hyperactive-impulsive type

Combined type

What time are you usually best reached by phone?

Weekdays between 3 pm and 5 pm

Weekdays between 5 pm and 7 pm

Weekdays between 7 pm and 9 pm

Saturdays between noon and 3 pm

Saturdays between 3 pm and 6 pm

If you wish, you can provide more information about your situation (e.g. possible comorbidities)

I accept that my information is saved and processed according to the privacy policy *