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UNIVERSITY OF COLORADO HOSPITAL CBP REFERRAL FORM STEP 1: Screen the referral with Marisa Murillo, LCSW, Supervisor Phone: (303) 7249404 Community Based Psychiatry: Rapid Response (RR), Intensive

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How to fill out University of Colorado Hospital:

1. Visit the University of Colorado Hospital's official website.
2. Look for the "Patient Registration" or "New Patient" section.
3. Fill in the required personal information, such as your full name, date of birth, address, and contact details.
4. Provide your insurance information, including the insurance company's name, policy number, and group number.
5. If you don't have insurance, inquire about the hospital's financial assistance programs.
6. Choose a preferred doctor or select the option to be assigned one.
7. Mention any relevant medical history or existing conditions.
8. Schedule an appointment or indicate if it is an emergency situation.
9. Review the provided information to ensure accuracy and completeness.
10. Submit the form electronically or print it out and bring it to the hospital during your visit.

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1. Individuals residing in Colorado or nearby regions who require specialized medical care.
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10. Individuals who value a patient-centric approach and a compassionate environment for their healthcare needs.

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University of Colorado Hospital is a renowned academic medical center located in Aurora, Colorado that specializes in patient care, research, and education.

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The purpose of University of Colorado Hospital is to provide high-quality healthcare services to patients, conduct cutting-edge research, and train future healthcare professionals.

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