Interested in becoming a new client at COPE?

Our new client fillable form is designed to gather essential information to ensure a smooth and personalized start to therapy. This user-friendly document captures basic details such as contact information and demographic data. Additionally, it offers an opportunity for clients to share their reasons for seeking therapy and any specific goals or concerns they wish to address. With a focus on confidentiality and respect for individual needs, our form streamlines the intake process, enabling our team to better understand and support each client from the outset of their therapeutic journey.

Below, you will find our New Client Form. All new clients must fill out this form and specify in the corresponding fields the type of service they wish to receive. Minors the age of 17 and younger must have a legal guardian fill out their form.

New Client Form


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