Counseling & Centre for Living with Dying REGISTRATION FORM
To request services via our Centralized Intake Department please call (408) 850-6145 Monday through Friday between the hours of 9 a.m. - 5 p.m. or complete the form below and someone from our Centralized Intake Department will respond.
If you are having a medical or psychiatric emergency call 911 or go to the nearest hospital emergency room.