RUCC Collective · Lower-cost counselling

Get started with the RUCC Collective

Tell us a little about you and what you are looking for. We will suggest the counselling intern who is the best fit and help you book your first session. It takes about 5 minutes.

← About the RUCC Collective

You send this form. Nothing is stored on the website; it comes to us by email.
We reply within two business days with the intern we think is the best fit.
We book your first session in Jane. Jane then sends your intake and consent forms to complete before you meet.

If you are in crisis, please do not use this form. Call or text 9-8-8 any time, or call 911 in an emergency.

Fields marked * are required.

1 About you

First name * Last name *

Preferred name (optional) Pronouns (optional)

Email * Phone (optional)

How would you like us to reach you? Email Phone call

2 Who the counselling is for Who is the counselling for? * Age of the person who will attend *

3 What you are looking for

A few sentences is plenty. Please keep personal and health details brief; we can talk about them together.

What would you like support with? * Do you have an intern in mind? Which fee option would you like to ask about? *

Sliding-scale and no-cost spaces are set in a short, private conversation. We do not ask for proof of income, and what you pay has no bearing on the care you receive.

Days and times that usually work (optional) How did you hear about us? (optional)

4 Consent