Request More Information – Oregon Community Programs

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Services
Foster Care
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Services
Foster Care
About Us
Careers
Contact Us

Are you filling this out for yourself/your child *

Yes
No

Provide your relationship to the child and contact information for yourself. *

Name *

First

Last

Caregiver/Parent Name *

First

Last

Caregiver/Parent Phone *

Caregiver/Parent Email *

Child's Name *

First

Last

Child's Date of Birth *

Child's Age *

Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

of child about

Mailing Address (If different from Physical Address)

Address Line 1

Address Line 2

City

State

Zip Code

Insurance

My child has Oregon Health Plan (Add ID # below)
My child is uninsured or has commercial insurance

OHP ID #

Not required if child is uninsured or has commercial insurance

Are you seeking services for any of the following?

Non Compliance
Social Skills
Aggression
Academic Difficulties
Depression
Adjustment Difficulties
Problems with Peers
Anxiety
Grief
Separation Anxiety
Emotional Regulation
Difficulty with transitions
Specific traumatic event
Other

Other

Is there anything else you'd like us to know?

Ex: previous treatments or hospitalizations, diagnosis, previous providers, caseworker information, etc.

Are you interested in receiving information about a specific program?

Early Childhood (ages 0-7)
Connections (ages 7-18)
Parenting Through Change (PTC)
Parent Child Interaction Therapy (PCIT)
Parent/Toddler Workshops

How did you hear about OCP?

Get in Touch

We're Here to Help

Whether you’re seeking services, interested in fostering, or want to learn more about how OCP can support your family, reach out to us today.

Address
1170 Pearl St., Eugene, OR 97401
Phone
1.541.743.4340
Fax
(541) 743-4369
Email
info@oregoncp.org
Hours
Monday–Friday, 9am–6pm

Send Us a Message

First Name

Last Name

Email Address

I'm Interested In

Message

Oregon Community Programs

A private nonprofit agency providing research-based treatment and prevention services to children, youth, and families since 1983.

Services

Mental Health
Early Childhood
Connections Program
In-Home Behavioral
Support Groups

Foster Care

Foster a Child
Certification
Respite Care
FAQs
QUEST Program

Organization

About OCP
Our Team
Board of Directors
Careers
Newsletter

© 2026 Oregon Community Programs. All Rights Reserved.

Mon–Fri 9am–6pm · 1170 Pearl St., Eugene OR 97401

Donate Today!

Name *

First

Last

Email *

Phone *

Preferred Method of Contact *

Phone
Text
Email

What city are you located in? *

I'm interested in: *

Full Time Fostering
Respite/Weekend Fostering
More Information

Check all that apply

I'd be open to fostering:

LGBTQIA+ and/or Gender Expansive Youth
Adjudicated Youth (Oregon Youth Authority)
BIPOC Youth (Black, Indigenous, People of Color)
Native/Indigenous Youth
Youth that use English as a second language

Check all that apply

us? I'm in:

The age range that I'm most interested in fostering is:

6-11 years old
12-18 years old
No Preference

Check all that apply

Your Message

How did you hear about us?

Your Name *

First

Last

Your Email *

address Your FRIEND’s

FRIEND’s name *

First

Last

FRIEND’s phone number *

Friend’s Email address *

# child Are

Are you filling this out for yourself/your child *

Yes
No

Provide your relationship to the child and contact information for yourself. *

Name *

First

Last

Caregiver/Parent Name *

First

Last

Caregiver/Parent Phone *

Caregiver/Parent Email *

Child's Name *

First

Last

Child's Date of Birth *

Child's Age *

Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address (If different from Physical Address)

Address Line 1

Address Line 2

City

State

Zip Code

Insurance

My child has Oregon Health Plan (Add ID # below)
My child is uninsured or has commercial insurance

OHP ID #

Not required if child is uninsured or has commercial insurance

Are you seeking services for any of the following?

Non Compliance
Social Skills
Aggression
Academic Difficulties
Depression
Adjustment Difficulties
Problems with Peers
Anxiety
Grief
Separation Anxiety
Emotional Regulation
Difficulty with transitions
Specific traumatic event
Other

Other

Is there anything else you'd like us to know?

Ex: previous treatments or hospitalizations, diagnosis, previous providers, caseworker information, etc.

Are you interested in receiving information about a specific program?

Early Childhood (ages 0-7)
Connections (ages 7-18)
Parenting Through Change (PTC)
Parent Child Interaction Therapy (PCIT)
Parent/Toddler Workshops

How did you hear about OCP?

Name *

First

Last

Email *

Phone *

Preferred method of contact *

Phone Call
Text
Email

of or How

Message: *

Location (City or County)

How did you hear about us?