Request an Appointment

Thank you for reaching out to Cleveland Rape Crisis Center.

Please call (216) 619-6192 or (440) 423-2020, or fill out the following form to request an appointment for advocacy, counseling and other programs at any of our locations in Cuyahoga County, Lake County, Geauga County or Ashtabula County.

We will contact you within 1-2 business days to connect you with our services and answer any questions you may have.

Please note:  Our return call may show up as restricted phone number, or as “000-000-0000.” 

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Request an appointment
If no, how would you like us to identify ourselves? *
Please be advised that due to HIPAA and confidentiality laws we cannot contact adults without their consent. If you are a parent, teacher or other caring adult for a survivor over 18, only fill out this form with their knowledge and full agreement. Thank you!