Application Form
The Primary Care Fund Application Form For Fiscal Year 2009-10 is available in two different formats on this Web site. Both versions are the same. The Adobe format is the complete application form which can not be altered. The Word format is available for the convenience of applicant agencies to copy the questions required to be included in the application responses.
Completed application responses are due to the Department of Health Care Policy and Financing, 1570 Grant Street, Denver, Colorado, 80203-1818, by Monday, June 15, 2009, no later than 2:00 p.m.
If you have any questions please contact Nancy Dolson by e-mail at nancy.dolson@state.co.us or by phone at 303-866-3698.
Thank you for your interest in the Primary Care Fund!