We're glad that you have chosen Kin-Etic Behavioral Health for your and your partner's mental health journey! Please complete this form to help us get to know you better. 

Before completing the form please note the following:

• All appointments are held virtually (via video or phone) until further notice.

• We do not accept appointments through Employment Assistance Program (EAP).

• If seeking services through insurance, we bill each individual separately. Insurance must be provided for both individuals.

• If you are seeking services and your deductible has not been met, you will be charged your insurer's contracted rate.

• If you are seeking services out-of-pocket, please click here to view our fees.

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Once your information is received, our office will contact you within 1-2 business days to schedule an appointment.