Your First Step - Request an Intake Appointment

Contact *

First Name

Last Name

Phone *

(###)

###

####

Therapist Request *

Therapist Request

Kevin 'Casey' Cherry, LPC; LAC

Natalie Cherry, LPC

Kathryn 'Paige' Killam, LSW

Daniel Harpole, MA

First Available

Communication Agreement *

By Checking Yes, you agree to The Incite Center staff or office assistant replying to this inquiry and communicating with a reply to the phone number and/or email provided in this form.

YES, I AGREE

Policies *

The phone number and email provided in this form will not be shared with any third parties. For more information, please see our practice policies https://www.theincitecenter.com/sms-privacy-policies

YES, I UNDERSTAND

SMS Communication

By checking the box, I agree to receive SMS messages about scheduling from The Incite Center staff at the above phone number. The SMS frequency may vary. Data rates may apply. Text HELP to 720-295-7304 for assistance. Reply STOP to opt out of receiving SMS messages. *Your phone number & email provided will not be shared with any third parties.

Yes, I consent & agree