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The State of Colorado has mandated the use of this credentialing application beginning December 31, 2005 (C.R.S. § 25-1-108.7).

Colorado Access will notify you regarding the submission of your application. For your convenience, you do not need to submit your application until requested to do so by the Credentialing Staff.

Microsoft Word format

Click here to download the MSWord version of the CHCPCA Save the document to your computer, then either fill it out in MSWord or print it out and complete it by hand.

PDF format (1.67 MB file)

Click here to download the PDF version of the CHCPCA. If you have Adobe Acrobat Standard, you may save the document to your computer, then fill it out and save it. If you only have Adobe Acrobat Reader, you may fill it out and print it without saving, or print it and complete it by hand.

Questions regarding this application should be directed to .

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Upcoming Events

Youth and Family Connections Annual Heroes Celebration
more info

Nov 6
6pm-10pm

Island Grove Exhibition Hall
525 N. 15th Ave.
Greeley, CO. 80631
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2014 ADA Access Awards

Nov 10
12:30pm-1:30pm

Mile High Station
2027 Old West Colfax Ave
Denver, CO 80204
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Project Homeless Connect 2014

Nov 17
11am-3pm

Colorado Convention Center
700 14th St
Denver, CO 80202
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