Attachment 2.5_ COWIC LA Application -Additional Clinic Info Pages (Use as needed).pdf

This attachment is to be used as needed. Document contains six copies of pages 7 and 8 from the original application. This is for those who have multiple clinics and need additional pages to provide details of each clinic.

If you have any issues please contact us at: cdphe_cowic_application@state.co.us


5.23.34 - I fixed the issues with the duplications.