SJPC Counseling Wait-List Sign Up
Thank you for your interest in our counseling services. Our program is solutions-focused and designed to meet the unique needs of the LGBT+ community with compassion and respect. Counseling is provided by MSW or MFT interns who are supervised by a Licensed Clinical Social Worker.

PLEASE NOTE: SJPC's counseling services will resume in November 2025. 
If you are in need of services earlier than November 2025, please reach out by phone or email and we will be happy to assist in finding you another mental health service provider.

Please fill out the form below to be added to our waitlist. 
All information provided is confidential and will not be released to any third-party without your written consent, except when required or permitted by law.

If you have any questions, please reach out to us at info@sjpride.center or 209-565-5023
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Email *
What is today's date? *
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What is your full legal name? *
What is your preferred name  (if applicable)?
What are your preferred pronouns? *
Required
What is your date of birth? *
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What is a safe phone number to contact you at? *
Is it safe to leave a voicemail/message?
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What type of counseling service are you looking for? *
Which days are you available to receive services? *
(Note: this will vary based on clinician availability and cannot be guaranteed)
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Do you identify as being a part of the LGBT+ community? *
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