Submit a Trauma Designation                             Letter of Intent Form
All licensed Colorado facilities receiving trauma patients by ambulance or other means must submit an application in writing for designation or re-designation as a level I-V trauma center.  Those facilities not seeking level I-V trauma center designation must submit an agreement of non-designation to the Department. Use this form to start the process of trauma designation or re-designation. The department will contact the person named on this form to gather more information and set a review date. More information about this process can be found at https://www.colorado.gov/pacific/cdphe/trauma-designation-process
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Dieses Formular wurde bei State.co.us Executive Branch erstellt.

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