In crisis? Immediate danger: call 911 Mental health crisis: call or text 988 Tulsa COPES line: (918) 744-4800

Refer a client.

For case managers, social workers, school staff, and partner agencies

Use this form to refer an individual or family for assistance. We respond within 1 to 3 days. Prefer paper? Download the PDF referral form and email it to [email protected].

1. Who is referring
2. Client information
3. Services requested

Check all that apply.

Basic needs

Financial and crisis support

4. Summary of situation
5. Documentation (optional)

A release of information, case notes, proof of crisis need, or anything that helps us act fast. Email documents separately to [email protected] with the client's name in the subject line.

6. Safety, risk, or urgent needs
7. Best time to contact the client
8. Case manager verification

All referrals are confidential and handled with care. Services are limited and based on available funding; not all referrals can be fulfilled.