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Wellness Services Request
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Our wellness program provides free, confidential mental health counseling for students enrolled at Contra Costa College.
If you feel you are in danger, please dial 9-1-1 immediately. If you are experiencing a mental or emotional crisis, please call the Contra Costa Crisis Center 1 (800) 833-2900 for 24-hour crisis support.
If you are able to wait for a clinician to contact you, please complete the form below and a coordinator will reach out to you soon. If you have questions about our wellness program or services, please email kshore@contracosta.edu.
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Is it okay to text you at the phone number listed above?
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May we leave a voicemail at the phone number listed above?
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How did you hear about our program?
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Name
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Are you currently enrolled this semester or next semester at CCC?
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Would you like to tell us here what issues you are dealing with at this time? (check boxes)
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If you prefer to say in your own words, feel free to let us know what kinds of issues or symptoms we may help with:
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Are you currently working with any mental health professional?
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Other relevant information, if any?
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