Code Lavender (Peer Support) Request

If this Code Lavender is for someone other than yourself, request a Code Lavender for someone else here.

Care for the Caregiver Program

You have made an important step toward caring for yourself. Please enter the following information to begin your path back to wellbeing.

Name *

First Name

Last Name

Please give the reason for your peer support request *

Department Name *

Position *

Shift *

Home/cell Phone *

Work phone

E-mail *

peer supporter

I would like support from a peer supporter from my department

I would like support from a peer supporter from a different department

Best way to reach you (click all that apply):

On Duty

Phone call

Text

(enter next scheduled day/night) *

(enter best time of day to call) *

If this is a life-threatening emergency, please call 911. To reach the Suicide Lifeline, text or call 988 to connect with a mental health professional; support available 24/7.

If this is an urgent request and support cannot wait until the next business day, please call ext. 87788 or 909-558-7788.

notification_important One Portal Maintenance
We’re cleaning up One Portal and removing outdated content to improve your experience. For more info or help, contact us.

We’re Stronger Together

We're building the future of clinical care and education to better serve our community.

Learn How

Code Lavender (Peer Support) Request

If this Code Lavender is for someone other than yourself, request a Code Lavender for someone else here.

Care for the Caregiver Program

We’re Stronger Together

Contact Us

Links

Loma Linda University Health