Clinical Services
Please complete this form on behalf of your client. A member of our clinical team will contact them as soon as possible.
Your privacy is important to us.
All information is confidential and secure.
What to Expect
Submit Intake Form
Complete this form on behalf of your client with their your and their information.
We’ll Be in Touch
Our team will reach out to the client as soon as possible, and we’ll follow up with you if we have any questions.
Schedule Appointment
We’ll schedule an intake call with the client.
Start Your Care
A clinician will meet with the client to begin services.
Ongoing Support
We’ll support the client throughout their journey.
This is not a crisis center.
If you are experiencing a mental health crisis, please call or text:
Trans Lifeline
A3 – Contra Costa Crisis Response
Contra Costa Crisis Center
Contra Costa Crisis Information Line
Suicide & Crisis Lifeline
The Trevor Project
Behavioral Health Access Line
Homeless Services for Youth
HIV Case Management
HIV Testing & PReP