Allied Health Professional Application Materials

1. Colorado Health Care Professional Credentialing Application
   1. Be sure to SAVE the application to your local computer before you start completing it. Otherwise, you will not be able to save your changes.
      OR
      A previously completed CO state application with an "Effective" date of 2011 (see bottom of each page) or later, updated and re-signed.
2. Allied Health Professional Privilege Request Form
3. Addenda and all required documentation described therein (checklist included for your convenience):
   Initial Applicants
   OR
   Reappointment Applicants
4. If you are to be employed by Boulder Community Health complete:
   Payer Credentialing Checklist