Welcome! If you are new to WCRC, or have not completed an intake form previously, please take a moment to fill out this form. In addition to helping us understand and serve our community, completing this form helps keep our services 100% free. We appreciate your support!
Please know that we do not sell any information you share with us.
(Be sure to click submit at the very bottom when you are done.)
We do not provide crisis support services and we are limited in our ability to provide community resource support for those outside of the Bay Area but we will do our best to assist you.