Statement of Solidarity

We at CAPS stand in solidarity with all members of our Asian community against any form of xenophobia, oppression, and racism. We write to affirm our support for the dignity of all our Asian community members.  CAPS is with you and stands alongside you.  We share a collective responsibility to speak out against racism and social injustice that aims at dividing our communities. We are committed to speaking up, listening, and providing confidential support for all our Asian community members and allies to foster empowerment and resilience.  We want to invite anyone who is being impacted by this or other challenging current events to come to CAPS for support,  or to use our after hours hotline/ crisis line for support at 407-823-2811 (press 5 afterhours).

 

CAPS Qualtrics Forms


CAPS Qualtrics Forms

In the event that we experience technical difficulties, please utilize the following links to submit your information to CAPS.

CCAPS-34

Intake Packet

Single Session Packet

Triage Packet-New Client

Triage Packet-Returning Client

Please submit your forms during CAPS business hours (Monday-Thursday 8:00 am to 5:15 pm and Friday 8:00 am to 4:30 pm).  There will not be a therapist available to review documents outside normal work hours.  If you need immediate assistance call CAPS at 407-823-2811 during regular business hours, press 5 after hours, or if this is a life threatening emergency call 911 or go to your local hospital.  Please note that Qualtrics is not a secure form of transmitting confidential information.