WebCall 800-634-1417 (toll-free), 8 a.m. to 5 p.m. Eastern time, Monday through Friday. Heart Transplant Referral Form (PDF) Kidney/Pancreas Transplant Referral Form (PDF) Liver Transplant, Hepatology, Hepatobiliary Referral Form (PDF) Lung Transplant Referral Form (PDF) All other referrals (PDF) Web2. Refer by fax. Complete our referral form on your computer, then print and fax it, along with your patient's most recent progress note to 1-855-392-9335. You can call us at 1-855-392-8400 to confirm necessary information for the referral, and route your request and records to the appropriate department for review.. 3. Refer by phone. Call 1-855-392 …
Colorado Indigent Care Program (CICP) Colorado Department of Health
WebMar 27, 2024 · However, you can contact the CICP directly with your questions: Phone: 1-855-266-2427 (1-855-266-CICP) Email: [email protected] Mail: U.S. Department of Health and Human Services ... You’ll be directed to the online VAERS report form at the completion of the pre-claim COVID-19 vaccine injury questionnaire. Take Me There. WebCICP. To be eligible, you: must be a Colorado resident or migrant farm worker and a U.S. citizen or legal immigrant; must have income and resources combined at or below 250% of the Federal Poverty Level (FPL); and. cannot be eligible for the Medicaid Program or CHP+. simon on the streets charity commission
COVID-19 Information for Health First Colorado and CHP
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