Intake Request Form

Please fill in the Intake Request Form to request an intake session with an SCCC counselor. All intakes are currently taking place via video conference.

If you think you may have a medical or mental health emergency, please call 911.

After completing an intake, you will be placed on our waitlist to be assigned a counselor for ongoing therapy.

Consent for Messaging

By submitting this Intake Request Form, you consent to receive messages from Southern California Counseling Center regarding your intake request. Message frequency may vary as we update you on your scheduling status and send meeting notifications.  Message and data rates may apply. You may opt out at any time by texting STOP. For assistance, text HELP to receive our main support phone number.

Privacy Policy: https://sccc-la.org/privacy-policy

Terms and Conditions: https://sccc-la.org/terms-of-service