This is a form to request therapeutic support from The Known and Elsewhere Collective (KAEC).

If you have any issues, for reasons of security, access, or otherwise, please email KnownandElsewhere@proton.me

Next Steps: After you fill out this form, we will do our very best to follow up with you at the contact you provide within two weeks. We will proceed to a phone intake, followed by a short consultation period to make sure that the fit between clinician and patient is right for all involved. Please respond to our outreach within the week. If we do not hear back from you after a clincian has contacted, we will move down the waitlist and you will have to submit a new intake. Thank you.

Please note: this form is not monitored daily. If you or a loved one are having a crisis, we recommend Thrive Lifeline ( https://thrivelifeline.org/ ) and the Trans Lifeline ( https://translifeline.org/ ); both are non-careral hotlines.

Your data will be processed according to the following privacy statement: PURPOSE: We are collecting data only to help us best match you with a clinician. 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.

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