Initial Lead Form

Welcome to OtherKind

We’re glad you’re here.
This brief, 60-second form helps us learn what you’re looking for so we can match you with the right clinician.

After you complete it, we’ll send you a link to schedule your free consultation in our secure client portal.

Start your therapy journey with OtherKind
Answer a few quick questions so we can match you with the right clinician.

You’ll hear back from our team within 1–2 business days with next steps and a link to book a free consultation.

Your information is always confidential.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
For scheduling updates only. No marketing.
I consent to receive secure email and text updates about scheduling.*

Yes
Are you located in New York or Pennsylvania?
We’re currently able to serve clients in NY and PA.
Please select the state where you will be physically located during your therapy sessions.*
How would you like to pay for your sessions?*
We accept insurance from select plans and private pay options.
What concerns, goals, or challenges are bringing you to therapy at this time?
(Optional) Share as much or as little as you’d like.
Should be Empty:

Welcome to OtherKind