Contact your county human services department - Colorado 2026

1. Click ‘Get Form’ to open the Contact your county human services department - Colorado form in the editor.
2. Begin by entering your personal information, including your name, address, phone number, and Social Security Number (SSN). Ensure all details are accurate for a smooth processing.
3. Next, provide your date of birth (DOB) and effective date. This information is crucial for determining eligibility.
4. Have a licensed medical provider complete the gray sections of the Med-9 form. They will need to evaluate your disability and select the appropriate diagnosis from the provided options.
5. Ensure that the medical provider checks only one disability level box and includes their signature, license number, and contact information.
6. Once completed, return the Med-9 form to your county office by the due date through email, fax, or online via your PEAK account.

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