Request Kindred Space for Your Hospital

Every hospital is reviewed before any account exists. There is no public staff or administrator sign-up.

Hospital or facility

Hospital or facility name

Hospital type

Street address

City

State

ZIP code

Main phone number

Website (optional)

Contact person

Full name

Job title

Work email

Work phone number

Psychiatric unit

Psychiatric unit name

Approximate number of psychiatric beds

Approximate number of staff users

Approximate number of shared devices

Message (optional)

I confirm the information submitted here is accurate and that I am authorized to make this request on behalf of this hospital.

Please note:

Submitting this request does not create a Kindred Space account.

After your request is submitted, the Kindred Space team will review the information provided. We may contact the person listed on this application using the provided work email address and/or phone number to verify the accuracy of the information, request additional details if needed, and learn more about your hospital and how you plan to use Kindred Space.

You will be notified by email once a decision has been made.

If your hospital is approved, you will receive a secure invitation to activate your Hospital Administrator account.