Online Counseling Request Form

Casa Youth Shelter is committed to your privacy and confidentiality. It is important to know that while we keep the information as secure as we can, electronic information is susceptible to breaches that would be out of our control. It is for this reason that we ask you to provide the information requested and all additional sensitive information can be obtained by the clinical partner at the time services begin.

Ou services continue to be free for all youth and families.Â