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Colorado Medical Exemption Program fax number

(303) 955-7538

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Chronic Care Collaborative – Energy Program (CCC) / Colorado Medical Exemption Program Office

Used for: Submit the CMEP application for medical exemption from certain energy usage restrictions; applications can be faxed or mailed; includes provider certification.

Fax destination details

Department
Chronic Care Collaborative – Energy Program (CCC) / Colorado Medical Exemption Program Office
Purpose
Submit the CMEP application for medical exemption from certain energy usage restrictions; applications can be faxed or mailed; includes provider certification.
Form
Application form — Colorado Medical Exemption Program Patient Application (Colorado CMEP)
Address
Chronic Care Collaborative – Colorado Medical Exemption Program Office, P.O. Box 461657, Aurora, CO 80015-9998
Voice phone
303-993-5056

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Sign and complete the patient form; have your health care provider sign and complete the Health Care Provider Certification Form; fax to 303-955-7538; applications must be received by May 1.

Official form instructions are published as a downloadable file on the organization's website.

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