Schedule an intake with the SLC-CA

For clients interested in individual counseling services: We are current starting a waiting list for new referrals. Please complete the form below if you are still interested in being put on our wait list for individual counseling services. We will update this statement as openings become available.

If you are a new client who is possibly interested in individual counseling fill out the form to the right and someone from our office will be back in touch.

Office Policies »

Name *
Name
Phone *
Phone
Address *
Address
Please tell us a little about the prospective client including their name, age, grade, general background and reason for your inquiry.