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Answer a few questions and we'll match you with the right counselor within 24-48 hours.

Let's get started
Hi! What's your first name?
A few quick questions to get started. Your answers help us match you with the right counselor.
Your information is confidential and used only for intake follow-up.

If this is an emergency, call 911 or 988.

Thanks ! And your last name?
What's the best email to reach you?
We'll send confirmation and next steps here
What's your phone number?
We'll use this to contact you about your intake if needed
What's your date of birth?
We ask this to confirm age and securely verify your identity when you log in to our portal.
What type of therapy are you looking for?
How many people will be in therapy?
Person 2 of 3
We need information for each person in therapy
Are you a California resident?
We can only serve California residents at this time
Would you like text updates from us?
Optional communication preference for intake updates and reminders
Would you like email updates from us?
Optional communication preference for confirmations, resources, and intake updates
What brings you to therapy today?
Share as much or as little as you're comfortable with
This helps us match you with the right counselor (optional)
Next: a few quick questions to help us match you with the right counselor and handle any sliding-scale details.
A Few More Questions
What's your address?
These help us match you with the right counselor and handle any sliding-scale details.
State: California (we serve CA residents only)
Demographics
Are you currently employed?
Demographics
How do you identify your gender?
Select all that apply
Demographics
What are your pronouns?
Select all that apply
Demographics
What is your ethnicity?
Select all that apply
Demographics
What is your relationship status?
Select all that apply
Demographics
What is your sexual orientation?
Select all that apply
Demographics
What language do you prefer for therapy?
Emergency Contact
Who should we contact in an emergency?
Financial Information
How many people live in your household?
Including yourself (used to determine your fee)
Financial Information
What is your monthly gross income?
Before taxes - used to determine your sliding scale fee
A Few More Questions
How did you hear about us?
A Few More Questions
Is this your first time seeking therapy?
A Few More Questions
Are you currently in counseling elsewhere?
Availability
When are you available for sessions?
Select the times you are generally available for sessions
Mon Tue Wed Thu Fri Sat Sun
8-9am
9-10am
10-11am
11am-12pm
12-1pm
1-2pm
2-3pm
3-4pm
4-5pm
5-6pm
6-7pm
7-8pm
8-9pm
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We Received Your Intake Form

Thank you for completing your intake form.

We could not load the next online step automatically. Our intake team will review your information and usually follows up within 1-2 business days.

Need help?
Email us at [email protected]

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You're all set!

Thank you for reaching out. Our intake team usually follows up within 1-2 business days.

Check your email () for confirmation and next steps.

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Let's Chat!

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Or look for the chat bubble in the bottom right corner of your screen.

Quality therapy within reach

Care that fits your life and your budget.

We offer sliding-scale counseling online across California, with in-person options in Los Angeles. Answer a few questions and our team will help match you with the right counselor.

No insurance required

You do not need insurance to start. SCCC uses a sliding-scale model so cost is not the first barrier to care.

Fees based on your situation

Fees are based on what works for your household. The average session fee is about $25.

Online or in-person options

Meet by telehealth anywhere in California, or ask about in-person care at our Los Angeles locations.

What happens next

A simple path from form to first session.

The intake form is designed to get the basics quickly. After that, our intake team reviews your information and usually follows up within 1-2 business days.

1

Tell us what you need

Share basic contact information, the kind of support you are looking for, and whether online or in-person care works best.

2

We review your request

Our team looks at your preferences and availability so we can understand what kind of support you are looking for.

3

Start with support

We will contact you with next steps, including scheduling details and anything else needed before your first session.

Good to know

Therapy should feel possible to start.

Need help with the form? Call or text (424) 245-6889.

A confidential first step. Your answers help us understand what kind of support you are looking for. We keep the process clear and respectful.

Tell us what works. Your format, schedule, and counselor preferences all help guide the match.

We will follow up. Our intake team will contact you with next steps, including scheduling details and anything else needed before your first session.

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