Known and Elsewhere Collective: Clinician Intake

Please use this form to initate collaboration or time donation to the Known and Elsewhere Collective and our patients.

Your data will be processed according to the following privacy statement: PURPOSE: We are collecting data only to help us perform intake for volunteering alongside us. Only our intake team will be privy to this information, which is hosted via an encrypted form and relayed to an encrypted email. LEGITIMACY: By consent. You may withdraw your consent at any time. DATA CONTROLLER: The Psychosocial Foundation / KAEC. Email: KnownandElsewhere@proton.me. In accordance with the General Data Protection Regulation, (EU) 2016/679. If you have any doubts, please see the contact details above.

Math captcha

10 + 3 =

Made with LiberaForms at my.liberaforms.org