Get Level I Accreditation Registration Form - Colorado Department Of ...

Completing the Level I Accreditation Registration Form is an essential step for physicians seeking accreditation in the Workers' Compensation system. This guide provides a clear and supportive framework to ensure you fill out the form accurately and efficiently.

Follow the steps to successfully complete the registration form.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Provide your name in the designated field, ensuring it is legible and accurately reflects your professional identity.
3. Fill out your business address, including city and ZIP code, making sure all details are current.
4. Enter your business phone number and email address, ensuring correct formatting to enable communication.
5. Indicate your discipline of care by checking the appropriate box, and specify your specialty if applicable.
6. Input your professional license number and its expiration date, verifying that these details are up-to-date.
7. Select your preferred option for attending the seminar or completing the home study process by checking the relevant box.
8. If you opted for the home study method, provide three alternate testing dates and times that fit your schedule, along with your chosen testing site.
9. Record the payment amount enclosed for the registration fee, ensuring accuracy in your submission.
10. If you require any accommodations for a disability, check the provided box and expect to be contacted for arrangements.
11. Review all entries for accuracy before submitting. Once completed, save the document, and download, print, or share it as necessary.

Complete the Level I Accreditation Registration Form online today to begin your accreditation journey.