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.

Please note, there is a $20 intake session fee that will be due via credit/debit card when your intake is conducted.  Intake fees vary for the The Abuse Prevention Program.

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 wait list to be assigned a counselor for ongoing therapy.  The current waitlist is:
Individual Counseling: 1 month
Couples/Family Counseling: 3 months