To apply for services at the Center for Counseling and Community Wellbeing (CCCW), please select the appropriate application form below. For individuals 18 years old and older, please select the Adult Application Form. For children and adolescents 17 and younger, please select the Child and Adolescent Application Form. Please do not fill out any of the other forms below until you meet with a counselor.

If you would rather call and give your application information over the phone, you can contact us at 1-212-998-5573. If we don’t pick up, please leave a message along with your phone number and some good times to reach you.