Online Intake Form

Schedule an Appointment Now

Kingsport Counseling Associates –
Intake Form

Thank you for taking the time to use this online form to give us more information about you and your background. This information will be held in strict confidence. This information will help your therapist to know more about you and how they can best help you with your problems. Thanks for using this online form! – Kingsport Counseling Associates, PLLC

If you are experiencing a crisis or thinking of suicide, harming yourself or anyone else, please go to your nearest emergency room or call 911. Or call: 1-800-273-8255


Do you have some quick questions to ask like either I need therapy or not? How much does it cost? etc. We try our best to answer your questions.


Get Online

we want you to know that we are still here and available for counseling and therapy sessions.

We have your health and the health of our community in mind.



The Practice of Therapy Podcast helps clinicians get the knowledge they need to have a profitable
and sustainable practice that fits their lifestyle.


Please feel free to contact us with your questions
Schedule an appointment online…

Call 844-215-0811