FIND THE RIGHT

THERAPIST FOR YOU

Need help finding a therapist? Get matched

We match you with a therapist that will give you the best chance at overcoming your challenges.
Complete our intake form to get your top therapist recommendations, based on the factors that matter.

Complete our client intake form today!

GET MATCHED TODAY!

Review Who We Serve to make sure you qualify for Kinthera matching. Then follow the steps below:

1.

INTAKE FORM

Complete all 6 sections of the client intake form below, review, and submit.

2.

RECOMMENDATIONS

We will send you your top 5 best matches within 2-3 business days. 

3.

BOOK YOUR FIRST SESSION

Every therapist has a preferred way to schedule in clients. We'll include how to book your first session!

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Prefer to get matched over the phone? We can do that!

 

If you do not want to submit your information through our online client intake form, we are happy to complete the process over the phone. Schedule a match meeting with us here.

CLIENT INTAKE FORM

Please complete all 6 sections below. Review answers before submitting.

 

Contact Information

Must provide either email or phone number

Emergency Contact Information

Location & Transportation

Would you like a therapist that you meet with:

Required

Do you live in Canada?

Do you live in Ontario?

Required

Required

Currently, we only serve clients in Ontario, Canada

Currently, we only serve clients in Ontario, Canada

What town will you be travelling from to get to your therapy sessions?

Please note we currently only offer therapists in the Waterloo Region (Kitchener, Waterloo, Guelph, and surrounding areas). If you are too far to travel to these locations, you will only be able to meet your therapist match virtually via phone or video.

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Insurance & Cost

Do you have insurance coverage to help you pay for therapy?

What type of therapists does

your insurance cover?

Required

What is the most amount of money you are able to pay for each hour of therapy?

Required

Please note that some therapists provide a sliding scale. This means that your results may include some therapists slightly out of this price range, as they may be able to reduce their costs depending on your personal financial constraints.

Personal Demographics 

Primary/native language(s):

Other languages you fluently speak:

Do you identify as being strongly affiliated with/practicing any particular religion?

What ethnicity/ethnicities do you identify as?

Diagnosis/Reasons for Therapy

Select all reasons why you are seeking therapy:

Please provide at least one diagnosis/reason for therapy

Anxiety related

Mood related

Abuse related

Trauma and stressor related

Abuse, dependence, or addiction related

LGBTQ+ challenges or concerns related

Ethnicity or culture related

Relationship or relational

Personality disorders

Physical health related

Sexual health related

Eating or body image related

Life events or well-being

Other

If you have any other diagnosis/reasons for therapy we have missed, provide them here:

If you have any other therapy style

preferences we have missed, provide them here:

Therapeutic Modality (optional)

It is important to note that all therapy styles are equally as affective. However, if you have a deep preference for one or more specific types of therapy, please select here:

Please complete the following fields:

Your intake form has been received! We will be in contact within 1-2 business days.

Congratulations on taking the first step!

We look forward to matching you with the best therapist for you

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