We are here to help!

Please fill out the inquiry form below and our intake specialist will contact you within 3 business days. Please note that the inquiry form is not considered a secure form of communication. By submitting the inquiry form, you agree to communicate through this medium and email despite possible risks to your confidentiality.

You may also call (206) 402-3168 ext 123 and leave a voice mail message.

Age Requirement

While Cooper House specializes in working with young children (0-5 age), we require that children be under age 5 before getting started at Cooper House. Please note that we may not be a good fit if your child is close to age 5. Please see the Resources page for a list of mental health providers who work with children aged 5 and above.

Check out our Frequently Asked Questions sheet to learn more about Cooper House.

Your name

First Name

Last Name

Pronoun(s) for caller

Email

Phone

(###)

###

####

We currently offer services in English and/or Spanish. What is your preferred language for a call-back?

English

Spanish

Best call-back times

If we reach your voice mail, is it ok to leave a message?

Yes

No

Briefly describe your concern(s)

Child's age (in months)

Cooper House requires that children be under age 5 before getting started with us.

If you are hoping to use your health benefits, please list your insurance provider:

How did you hear about us?

I and/or my family member will need the following accommodation. Please select all that apply:

Wheelchair access

Elevator access

Other accommodation:

Weather and Holiday Closures

Cooper House generally follows the Seattle School District for weather closures. We are also closed from Christmas day through New Years day, and the following holidays: Martin Luther King, Jr. day; Presidents day; Memorial day; Juneteenth; Fourth of July; Labor day; Indigenous Peoples day, Veterans day, Thanksgiving day and the Friday after Thanksgiving.

Cooper House

If you are currently in crisis, we recommend you call 211 or the 24 HR crisis line at 866-427-4747. If this a life threatening emergency, please call 911.

225 14th Avenue East
Seattle, WA 98112
United States

Email: intake@cooperhouse.org
Tel: (206) 402-3168 En espanol: (206) 402-3972
Fax: (206) 329-1256