Medical Professionals for Covid-19 Telehealth Response in Colorado
Please fill out this form if you are interested in volunteering for clinical, triage, or administrative efforts in Colorado. *ALL VOLUNTEER WORK WILL BE REMOTE FROM HOME*

We will reach out to introduce you to our project, and if you are interested in moving forward we will onboard you with a local free clinic so that you are covered by their malpractice insurance.

Please email our volunteer coordinator at volunteer@clinicacolorado.org with any questions.
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Full Name
Telephone Number
What is your professional designation?
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What kind of care do you specialize in?
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Are you interested in offering your services as an unpaid volunteer to offer free care to patients in Colorado?
What is your general availability in the coming weeks PER WEEK?
Are you comfortable providing care over the phone, working on your own laptop and phone from home?
What languages are you fluent in, for the purposes of providing care?
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Where are you located? (City/State/Country)
Please add any comments or questions you have about this volunteer effort, so we can discuss when we contact you. Thank you.
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