User Information

Create a 4-digit PIN. Do not use sequential or repeating numbers such as "1234" or "2222". Your PIN is required each time you issue a Provider Certification.

Health Care Provider - Proof of Identity

Please provide your valid and current Colorado Driver's License or Colorado ID Card information:

Health Care Provider - Credentials

Health Care Provider - Business Contact Information

Health Care Provider - Confidentiality Agreement

By signing in to this system you are agreeing to follow the stated security policy, which was updated Aug. 2, 2019.
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