Request An Appointment

If you are interested in becoming a Kindred Psychology client, please complete the following form, which routes to a protected email. One of our staff members will respond to your inquiry via email, usually within two business days.

At this time, we do have a wait for new clients seeking individual therapy. If you are interested in exploring alternative modalities, we encourage you to check out our group therapy services page.  

Note: Adult clients (ages 18 and up) must request appointments for themselves. Concerned family members, parents, spouses, partners, and/or friends may not request initial appointments for other adults.

"*" indicates required fields

Client Name*
Client's Date of Birth*
Client Pronouns*
Contact Name
If you are submitting this request on behalf of your minor child or a person legally in your care, please share your name here.
Email*
Please enter your best email address - the one you check most frequently - as this is how you will receive a response from us.
Note: This field is extremely important to complete, as different providers are credentialed with different insurance companies. Thus, knowing your insurance company helps us select the best provider for you from the beginning. If no insurance will be used, please indicate N/A.
If you were referred by someone - another provider or community member - please list their name here.
Clinician Requested*
If you know the clinician you'd like to request, please indicate by marking the box next to their name. If you're unsure and would like help selecting the best fit for you, mark the box next to Help Me Choose. Please note that some clinicians may not be accepting new clients at the time of your request.
Email Communication and Consent*
This field is for validation purposes and should be left unchanged.

Get Kindred Psychology News

Be among the first to hear about our practice announcements, group openings, art exhibits, or continuing education offerings. We also share resources and social justice events we’re particularly excited about. No worries, we protect this low-frequency mailing list with the same ferocity as our client list.

"*" indicates required fields

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