Peak Vista Community Health Centers
 
     

 

 

340 Printers Parkway

Colorado Springs, CO 80910

 

Customer Service Center:

719-632-5700

 

 

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Documentation Needed

Registration
 

Peak Vista became an application site in the Summer of 2008. For CHP+ and Medicaid applications, please download the CHP+/Medicaid application (Solicitud de Medicaid en Español) and bring it to the Enrollment Services location closest to you. Enrollment Services locations available are:

 

 
 
   

 

Please bring the following documents with you:

 

CHP+/Medicaid

 

  • CO Drivers License/CO State ID
  • Birth certificates for all family members applying
  • Proof of child care
  • Resident alien card (if applicable)
  • Medical expenses for last three months if you are requesting Medicaid coverage
  • Health insurance information if applicable
  • Business ledgers or profit or loss statement for previous month if self employed

 

Colorado Indigent Care Program (CICP)/Sliding Scale

 

  • CO Drivers License/CO State ID
  • Vehicle registrations
  • Proof of child care/Alimony
  • Medicaid denial letter if applicable
  • Resident alien card if applicable
  • Medical expenses for last three months if you are requesting Medicaid coverage
  • Health insurance information if applicable
  • Business ledgers or profit or loss statement for previous month if self employed
  • Proof of income for last month if employed