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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your personal information in the 'Patient Information' section. Fill in your last name, first name, middle initial, and date of birth accurately.
- For section 5a, select two forms of identification from the provided list that include your full name. Ensure that at least one is a valid photo ID.
- In section 5b, choose two documents that verify your residency. These must include your full name, Colorado mailing address, and contact information of the issuing agency.
- Review all entered information for accuracy. Once confirmed, proceed to sign the form in section 6a and date it in section 6b.
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