~ get started · 5 minutes

Tell us a little about you.

There's no wrong way to fill this out. The more we know about what brought you here, the better we can match you to the right clinician. Within three business days, we'll suggest two therapists whose training and openings fit.

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If you are in crisis right now —

This form is not for emergencies. Please call or text 988 (Suicide & Crisis Lifeline), or call 911 if you or someone you're with is in immediate danger. We typically respond to intakes within three business days, which is too long if you need help right now.

Intake form

All fields except the long-answer ones are required. Take your time — there's no rush.

~ Optional. We'll text only if you don't reply by email after a few days.

~ Submitted intakes are read only by our intake coordinator. By submitting you agree to be contacted by Your Business. We never sell or share your information.