• Program Consent Forms by Location

  • Program Consent Forms by Location

Once you’ve received your welcome packet and reviewed the materials, please fill out the consent forms and survey in the program consent form packet and return them within 30 days. To help your care team better understand your health history and coordinate your care with other providers, we need your consent to:

  • Aid us in accessing your medical records from other health care providers
  • Help make it easy for you to communicate with your integrated care team through email

After you’ve returned your consent forms, you’ll be on your way to enhanced care with customized services designed to support your health care needs. Your dedicated care team will reach out soon to help you get started.

Mailing address
2000 16th Street
Attn: CKCC Patient Onboarding
Denver, CO 80202

Patient, Activation, Measurement (PAM) Survey

Patient, Activation, Measurement (PAM) Survey

Consent Forms By Region

Northern California Program Consent Form
Southern California Program Consent Form
Florida Program Consent Form
Georgia Program Consent Form
South Texas Program Consent Form
Minnesota Program Consent Form
Nevada Program Consent Form
New Jersey Program Consent Form
Pennsylvania & Ohio Program Consent Form
Texas & Oklahoma Program Consent Form
Virginia Program Consent Form