CIRCE Counseling offers a limited number of sliding scale spots for adults who need financial flexibility. This request form helps me determine eligibility and match you with an appropriate rate tier and availability.

Please complete the form below as accurately as possible. Submitting this form does not guarantee a sliding scale spot, but I will review your request and follow up with next steps.

If you are in crisis or need immediate support, call/text 988 or dial 911.