COPE Form

*DO NOT complete these forms unless you have been directed to do so by a COPE staff member. If this is an emergency, please call 911.

Due to our office providing both telemental health and in-person services at this time, COPE is asking new clients to complete the paperwork below.

Step 1: Download your paperwork HERE.

  • Be sure to save the documents to your desktop before you begin.

Step 2: Please read the form, fill it out completely, and save it.

  • Please fill out ALL of the information requested and note initials at the end of each page when indicated.

Step 3: Please upload your completed form up to the following link:

Step 4: Once completed, someone from our office will call you to confirm that we have received your paperwork and schedule your appointment.

If you have any questions about the process, please email or call COPE for guidance.