6 ccr 1014 4-2026

1. Click ‘Get Form’ to open the Colorado Health Care Professional Credentials Application in the editor.
2. Begin by filling out the Identifying Information section. Enter your full legal name, including any suffixes, and provide your contact details such as home address and email.
3. Proceed to Current Practice Setting(s). List your primary practice location, including the name of the clinical practice, address, and type of practice setting. Ensure you include office hours and contact information.
4. In the Licenses/Registrations/Certificates section, detail all relevant licenses and certifications. Be sure to indicate whether they are active or expired and provide expiration dates where applicable.
5. Complete the Education section by listing all educational institutions attended in chronological order. Include degrees received and dates of attendance.
6. Finally, review all sections for accuracy before signing and dating the application. Use our platform's features to save a copy for your records before submission.

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