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Application Form

The goal of the Primary Care Fund is to support community clinics and primary care providers by awarding funding based on the number of medically indigent patients the provider serves.

 

Please note all clinics will need to apply for Fiscal Year 2014-15 funding.

 

Applications for the dissemination of funds from the Primary Care Fund are processed once a year.

 

The Primary Care Fund Application Form for Fiscal Year 2014-15 is available now.

 

This timeline may be revised at the discretion of the Department.

 

2014-15 Primary Care Fund Application - PDF

2014-15 Primary Care Fund Application - Word

 

The Primary Care Fund Application Form For Fiscal Year 2014-15 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.

 

If you have any questions please contact Karen Talley by e-mail at karen.talley@state.co.us or by phone at 303-866-3170.

 

Thank you for your interest in the Primary Care Fund!