Get help

Central Oregon Peer Services Foundation

Tell us a little about yourself and what you're looking for. No account needed. Someone from our team will reach out to you.

In crisis right now? Call or text 988 any time. In an emergency, call 911.
Filling this out for someone else? If you're a PO, case worker, or other referral partner, please use the referral portal instead. No partner login yet? Ask for one here.
About you

Give us at least one way to reach you: phone, email, or where you are.

Emergency contact
Background
May we talk with your PO?
Are you a veteran? *
Do you have any pets you need to take care of? *
Your situation

In your own words: what kind of help, and what you hope to get out of it.

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