Sliding-Scale Counseling Request Form

This form is for individuals, couples, families, and other intimate relationships looking to be matched with one of our trainees for sliding scale counseling. Our sliding scale fees are based on all financial resources, not just personal income. The lowest fee possible on our scale is $25 per session, and the highest fee on our scale is $80 per session.

PLEASE NOTE:

As of October 2024, our waitlist for individual sliding scale counseling is approximately 1 month long. The waiting list for couples and families is often shorter.

We encourage you to check out our groups, some of which you can join immediately.

You might also consider reaching out to a Counselor-in-Residence, who may be able to start working with you sooner at hourly rates starting at $80. They are often available to begin working immediately. Please feel free to contact them directly if you are interested.

If you have any questions, you can call us to find out more about these options: (323) 935-1807.


Taking the first step towards building more support in your life takes courage. We’re honored to be one of the resources you are reaching for. 

As you fill out this form, the more information you are comfortable providing, the better. The information you submit here will not be shared with anyone outside of The Relational Center.

If you are more comfortable speaking with someone over the phone to submit your request, we welcome your call.

If you have already submitted a request, you are welcome to contact us for an update on your waiting list status.

Counseling Request Form