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Colorado med 9 form pdf

Contact your county human services department - Colorado 2025

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The document provides instructions for clients and medical providers regarding the Med-9 form, which is necessary for determining ongoing eligibility for the Aid to the Needy Disabled (AND) program in Colorado. Clients must have a medical examination and submit the completed Med-9 form by a specified due date. Medical providers are required to evaluate the client's disability and fill out specific sections of the form to certify the applicant's condition. The document outlines acceptable medical professionals, details on completing the form, and submission methods.

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Click ‘Get Form’ to open the Contact your county human services department - Colorado form in the editor.
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.
Next, provide your date of birth (DOB) and effective date. This information is crucial for determining eligibility.
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.
Ensure that the medical provider checks only one disability level box and includes their signature, license number, and contact information.
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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How do I contact the state of Colorado Human Resources?

Division of Human Resources Contacts Chief Human Resources Officer. Email: DPADHRsupport@state.co.us. Contact: 303-866-2171. Communications Unit. Email: annabel.asp@state.co.us. Compensation Unit. Email: dpajobevalcomp@state.co.us. Contact: 303-866-4895. DHR Support. Email: DPADHRsupport@state.co.us. Contact: 303-866-2171.

What is human services in Colorado?

Specifically, the Department supports and/or provides care for Colorado families who need assistance with food, cash, employment or energy assistance; children, youth and adults at risk of abuse or neglect; individuals with developmental disabilities; pre-adjudicated and committed youth in trauma-responsive

What assistance programs are available in Colorado?

Colorado: Financial Assistance Resources for Families Child Care Financial Assistance. Temporary Assistance for Needy Families (TANF) Childrens Health Insurance Program (CHIP) Women, Infants, and Children (WIC) Supplemental Nutritional Assistance Program (SNAP formerly Food Stamps) Low Income Energy Assistance Program.

What is the purpose of the human services?

The primary focus of human services is on improving the overall well-being of individuals, families, and communities. This encompasses a wide range of activities, from providing essential needs like food and shelter to offering counseling, advocacy, and rehabilitation services.

What does the Department of Human Services do?

HHS administers more than 100 programs across its operating divisions. HHS programs protect the health of all Americans and provide essential human services, especially for those who are least able to help themselves.

printable med 9 form colorado

Colorado Department of Human services Colorado Department of Human Services phone number Department of Human Services Denver Colorado PEAK Colorado Department of Human Services address Denver Human Services phone number Colorado Department of Human Services staff Directory Arapahoe County Human Services

What does someone in human services do?

Social and human service assistants provide client services, including support for families, in a wide variety of fields, such as psychology, rehabilitation, and social work. They assist other workers, such as social workers, and they help clients find benefits or community services.