Locate your county below to select and print or download the appropriate Rapid Referral Form.
Denver Metro Region: Serving residents in Adams, Arapahoe, Boulder, Broomfield, Clear Creek, Denver, Douglas, Eagle, Gilpin, Jefferson, and Summit Counties
Colorado Springs Region: Serving residents in El Paso, Elbert, Park, and Teller Counties
Southwestern Colorado (Durango) Region: Serving residents in Archuleta, Dolores, Hinsdale, LaPlata, Mineral, Montezuma, Ouray, San Juan, and San Miguel Counties
Northern Colorado Region: Serving residents in Grand, Jackson, Larimer, and Routt Counties
Northeastern Colorado (Greeley) Region: Serving residents in Kit Carson, Lincoln, Logan, Morgan, Phillips, Sedgwick, Washington, Weld, and Yuma Counties
Southeastern Colorado (Pueblo) Region: Serving residents in Alamosa, Baca, Bent, Chaffee, Cheyenne, Conejos, Costilla, Crowley, Custer, Fremont, Huerfano, Kiowa, Las Animas, Mineral, Park, Otero, Prowers, Pueblo, Rio Grande, and Saguache Counties
Western Slope (Grand Junction) Region: Serving residents in Delta, Garfield, Gunnison, Lake, Mesa, Moffat, Montrose, Pikin, and Rio Blanco Counties