Language
English (US)
Spanish (Latin America)
Contact HCP
Larimer County HCP care coordination services, information, and referrals are provided at no cost to you. If you have a question and/or would like one of our staff members to contact you please complete this form. Someone will contact you within 3 business days.
Your Name
First Name
Last Name
I would like
Information on HCP Care Coordination
Information on screenings
Information on a medical condition
Information on specialists
Nutrition and Dietary information (i.e. feeding and special diets)
Information on therapies or medical equipment
Information on Medicaid transportation
Information on resources (i.e. educational supports, child development, respite, Parent as CNA, insurance)
Other
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Best way to contact you
Phone
Email
Text
Voicemail, and call you back
Submit
Should be Empty: