Adult dental clinics serving individuals with Medicaid are coming soon to Ouray, Telluride, and Naturita.
For more information, contact skippy@tchnetwork.org or call 970.708.7096
Adult Clinics
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Your form has been successfully submitted!
and Thank you!
If you have more questions please contact our office at 970-708-7096 or Julia Johnston at coord-pc@tchnetwork.org
¡Éxito!
Gracias, su formulario de autorización médica ha sido completado con éxito.
Sus archivos serán procesados y enviados directamente al proveedor indicado.
Success!
Thank you, your medical release form has been successfully completed.
Your files will be processed within two business days and sent directly to the indicated provider.
Success!!
Your registration has been successfully submitted,
and a confirmation email has been sent.
If you do not see the email in your inbox, check your “Junk” or “Spam” folder.
Thank you!
¡Éxito!
Su formulario de consentimiento ha sido entregado con éxito,
y un correo de confirmación ha sido enviado.
Si no ve el email en sus correos recibidos, chequee sus carpetas de “Junk” o “Spam”
¡Gracias!
Success!
Your Skippy consent form has been successfully submitted,
and a confirmation email has been sent.
If you do not see the email in your inbox, check your “Junk” or “Spam” folder.
Thank you!