Get In Touch

first name

last name

email address

phone number

I am . . .

seeking mental health support making a referral interested in hiring you to speak at an event or interviewing you for a publication interested in consulting with you to make my workplace more parent-friendly selling something

How did you find me?

referred by provider

friend or colleague

internet search

social media

other

Please describe . . .

Are you ready to invest time and money to improve your mental health?

Yes, I'm financially prepared to invest in my mental health. No, I do not have the financial means to invest in professional support at this time.

Please utilize one or more of the following resources to find a provider who is a good fit for your needs and budget.

Postpartum Support International web site for their provider directory and support groups
Open Path Collective for a directory of affordable options
TherapyDen or Inclusive Provider Directory
Return to Zero Hope for support after a loss

Briefly describe your symptoms and what prompted you to seek support.

What would you like me to know about your patient or client?

patient's first name

patient's last name

patient's email address

patient's phone number

How would you like me to connect with your patient?

Please contact the patient

Please be sure to provide contact info above

The patient will reach out.

Please pass along my website or have them email me - hello@kaycehodos.com

I love educating folks about maternal mental health! Tell me more about how you'd like to collaborate.

Please review the following information and check the boxes to indicate you understand.

I understand that fees start at $250 per session and my credit card will be charged the full fee at time of service.

I understand that coaching is not covered by insurance and Kayce Hodos is out-of-network and not contracted with any managed care organizations.

If I decide to pursue therapy, I understand that committing to sessions at least every other week in the beginning is required.

As stated above, this form is intended for people seeking support or collaboration, or providers making a referral. Please do not contact me to sell services as I will block your email address and report your message as spam.

Your information will be encrypted.