CMHC Providers

Internal Service Provider Information Form

Use the MS Word version to fill in the form on your PC. Save the document for your records and email to Ruth Icenogle at ruth.icenogle@valueoptions.com. You may also print the PDF form, fill it out and mail it to Colorado Health Networks at:
7150 Campus Drive
Colorado Springs, CO 80920
or fax to:
(719) 538-1433

• San Luis Valley Mental Health Center   
• Spanish Peaks Mental Health Center     
• West Central Mental Health Center       
• Southeast Mental Health Services        
• Colorado West Regional Mental Health Center    
• Midwestern Colorado Mental Health Center        
• Southwest Colorado Mental Health Center         
• Pikes Peak Mental Health Center                      
  
• Downloading Adobe Acrobat and Using PDFs

Committee Meeting Calendar