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: We will begin reviewing intake forms when the collective opens on September 8th. After you fill out this form, we will 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.

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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