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Fast, simple and free. Tell us who you are and a Copilot will be in touch.

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Starting with Copilots is fast, simple, and free. Tell us who you are and a Copilot will be in touch.

The original sent this form to the company. This rebuild has no server, so it validates in your browser and stops there.

Prefer to be referred?

The company asked people to start by asking their physician for a referral, by email to info@copilotsincare.com.

You can also call (650) 746-4272 or write to founders@copilotsincare.com.

Returning user?

The original site had a Login link for people already in the service, which opened a client portal on the company’s own domain. That portal is gone, and no archive captured it.

Rather than leave a dead link in the navigation, that route is described here. If you are looking for a record of your plan, the company’s published contact details are on the contact page.

Step three: a personal journal to help you reflect on your goals and wishes.

Before you start

Three things worth knowing

It is a conversation, not a form

A Copilot calls you first, to hear your story, before anything is written down.

Your family is part of it

The counselor comes to your home so everyone hears the same thing at the same time.

Your doctor signs off

The plan is documented on the forms your physicians use, with their help.

Step one takes about five minutes: your name, your contact details, and how you would like to be reached.

Take the first step

Questions first?

Read the FAQ, or write to founders@copilotsincare.com.

CoPilots In Care

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