Get in Touch
Client Intake Form
Are you a current resident of California who is interested in accessing our services? Contact us via the form below and we’ll get back to you as soon as possible.
General Questions
Phone: 415-358-2000
Fax: 415-864-1006
For questions regarding our intake process for client services, including individual, couples, and group therapy, please read through our FAQ. If you don’t see an answer to your question, send an email to info@queerlifespace.org.
If you or a loved one are considering therapy and are looking for a supportive, queer-affirming environment, we would be delighted to hear from you. We invite you to contact us with any inquiries about our services, whether individual therapy, couples counseling, or group therapy.
Simply fill out the client intake form on this page. If you're unsure about which type of therapy will best serve you, please don't hesitate to ask us for guidance. We are here to support you in making an informed decision about your mental health journey.
After receiving your intake form, our team will follow up with you as quickly as possible to discuss your needs and the best therapeutic approach.
Due to high demand, it can sometimes take several months before we can offer services to new adult clients. Please visit our Resources page for a list of other Bay Area mental health agencies and other resources.
MEDIA INQUIRIES
Our media kit is available for download here.
For media-related inquiries, including interview and speaking opportunities, or to request press badges for one of our events, please contact media@queerlifespace.org.
OTHER INQUIRIES
Interested in exploring partnership or sponsorship opportunities? Please send an introduction or proposal to info@queerlifespace.org.
Interested in volunteering at one of our events? Please sign up through our Volunteer Interest form.
Sometimes emails end up in spam folders — so if you don’t hear from us, please be sure to check. Thank you!