Schedule a Call with Family Services

Schedule Call with Family Services

Are you a current COTA Family?*
- Yes
- No
Please click here to enter your information on our Get Started form.
If this is your first time calling COTA please set up a family orientation call. This call is for the parent / caregiver who will be submitting or involved with expenses. For adult patients, we strongly encourage at least one additional adult to be on this call. If you are an established family and would like to set up a call please give us a brief explanation on the form below. COTA office hours are Monday-Friday, 8:00 AM to 5:00 PM, EST; however, we will do our best to accommodate your needs.
COTA Patient Name*
First Last
Parent/Caregiver Name
First Last
Name of Individual Requesting a Call*
First Last
Email of Individual Requesting Call*
Please enter the names and associated email addresses of any other individuals you would like to join the orientation call.
Phone number for Family Services to call
Please enter your time zone
Please select a preferred date you would like to schedule this call
MM slash DD slash YYYY
Time

: Hours

Minutes

AM/PM
Please choose a second preferred date to schedule the call
MM slash DD slash YYYY
Time

: Hours

Minutes

AM/PM
Please choose a third preferred date to schedule the call
MM slash DD slash YYYY
Time

: Hours

Minutes

AM/PM
Please enter any additional questions you have or information you would like to share here.
What is next?
Once COTA receives your preferred dates and times, we will reach out to you to confirm. If you would like to review online submission during this call, many COTA families have found it helpful to have internet access available. We will honor your time and look forward to speaking with you!

Schedule Call with Family Services

What is next?