We welcome physicians and allied health professionals (Occupational Therapists, Physical Therapists, Speech Therapists and Psychologists) to apply for membership.
To apply for membership consideration please submit a letter of intent to email@example.com. There is no guarantee of acceptance. Every applicant must successfully complete our credentialing process.
APPROVED NEW APPLICANTS:
Once you have been notified that your Membership Application has been approved by the BVIPA Credentials Committee please complete and print the Colorado Health Care Professional Credentials Application (CHCPCA). Pages 19-26 must have Original Signatures. No faxed or xeroxed copies of these pages are acceptable per NCQA Guidelines so please mail original application to us.
Colorado Physicians and Health Care Professionals Insured by COPIC:
To access the CHCPCA application, just click on the “Service Center” button and enter your COPIC log-in information. Once you complete the application and save it, COPIC will store it online so you can make future updates as necessary.https://www.callcopic.com/resources/pages/chcpca-request.aspx
Microsoft Word format—Using Microsoft Word 2002 or later, open the application, type in your answers, and save it on your computer or system for future printing and updating.
PDF format (1.2 MB file)—Using a full (i.e., purchased) installation of Adobe Acrobat Standard, open the application, type in your information, and save the completed copy to your computer or system for future printing and updating. Using the free Adobe Reader, open the application, type in your information, and print a completed copy. You will not be able to save a completed copy to your computer or system, and your information will be erased when you close the file.
If you have any questions, please call Barbara Massey at 303-530-3405 or e-mail at firstname.lastname@example.org.