Eligibility Form

Thanks for using the COSMO Portal!

So that we can provide you the very best experience possible, our services are by appointment only.

To begin, please fill out the following short form. We use this to make sure you are eligible for the services we provide. 

If you are eligible, we will follow up with a link where you can provide more details about how we can serve you and to make an appointment. 

If you are not eligible, we will send you information on other available resources.

So, please check your email for our response.  If you have not received anything after an hour, please check your Junk or Spam to make sure our reply isn’t in there.

Thank you!