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Thank you for your interest in Corazon Counseling. Please email therapy@corazoncounseling.com if you are interested in receiving our trusted referral contact page and/or any additional questions.

EMERGENCIES: If you have an emergency please call 911 or the mental health crisis line: Riverside- (951) 358-4881 and San Bernardino- (909) 421-9233.

LOCATION: Our office is located between Brockton and Magnolia in Riverside, it is easily accessible from the 91 freeway.
3742 Tibbetts Street Suite 201, Riverside, CA 92506

CONTACT: To contact me, please email me at therapy@corazoncounseling.com, or complete the form below and I will be in touch within the next business day.

Initial Inquiry Form

Thank you for your interest in therapy. Please take a few moments to fill out this form so we can better understand your needs and how we can support you. All information provided is confidential.

Name(Required)

First Last

Date of Birth

Phone(Required)

Email(Required)

Preferred Method of Contact:

Phone

Preferred Time for Contact:

Morning

Afternoon

Do you Reside in California?

Yes

What is your reason for seeking our services?

Counseling/Therapy

Coaching & Guidance

Professional trainings/workshops

Organizational staff retreats

Community Healing Circles

Logistics & Availability

How frequently would you like to attend therapy or coaching sessions? Weekly? Biweekly? Monthly? Other?

What days and times are you generally available for sessions?

Would you prefer in-person or online (telehealth) sessions?

In-Person

Online

Insurance & Payment Information

Do you have insurance?

Yes

If yes, please provide your insurance provider:

(Please check the appropriate options and provide necessary details.) We currently only Accept certain Insurance: IEHP

Are you interested in self-pay for therapy sessions?

Yes

What is your preferred method of payment?

Credit/Debit Card

Health Savings Account (HSA)

How did you hear about us?

By submitting this form, you are providing consent to be contacted regarding your inquiry. If you would like to receive a response or schedule an appointment, please ensure you have provided accurate contact information. We will be emailing you. We will not be calling you.

Name

This field is for validation purposes and should be left unchanged.

therapy@corazoncounseling.com

3742 Tibbetts Street Suite #201 Riverside, Ca 92506

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CORAZÓN COUNSELING SERVICE INC.

Emilia Ortega Jara, LCSW

Providing culturally inclusive counseling services to individuals, couples, and families in the Inland Empire, CA. Also providing virtual coaching & retreats for Xicanx/Latinx Social Workers, Mental Health Therapists, Community Organizers and Activists nationwide.

Corazón Counseling practices from a liberatory anti-oppressive stance. We acknowledge the realities of systemic oppression and are aware of our own privileges and how they impact our work in the community. We are actively engaged in decolonizing old paradigms and are committed to the wellbeing and collective liberation of our mind, body, and spirit, regardless of race, gender, class, sexuality, age or ability.