Therapy Intake - Kritika Mehta
Hello there! Thank you for your interest in seeking therapy with me.

I am currently at full capacity and unable to accept new clients.

I will revert when a slot becomes available, which could be at least 3 months. The sessions will only be online. Kindly fill up this form as it would allow me to understand a couple of things before we get started. I will get in touch with you shortly after you fill up this form. You can email me at if there is any other information I can help you with. Thanks!

The information you share with me here and in our sessions is a 100% CONFIDENTIAL.
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Email *
Name *
Who are you seeking therapy for? *
Name of the client if not seeking for self
Age of the client *
Contact number *
Current city of residence *
Presenting concerns / reason you’re seeking therapy *
Please mention who you'd prefer to work with *
Are you comfortable with online sessions? *
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