Forms
Click on a link below to view and print our current
participant forms.
Application
Print out paper application to complete and mail or fax to
the HIBI Program.
Renewal Application Form
Fill out a renewal form to apply for continued program
participation and to avoid any interruption in your
monthly payments.
Sign up for direct deposit payments. It is easy to sign up
and you will not have to wait for your check to arrive by
mail.
Information Change Form
Keep your personal information up-to-date. It is
especially important to keep your banking account, mailing
address, commercial health insurance policy information,
and Health First Colorado status up-to-date.
Consent Form
Allow a representative, such as a family member, to speak
on your behalf or have access to your health information.
Direct Deposit Form
Print out a Direct Deposit form.
Fax Cover Sheet
Use this cover sheet to fax your forms to the Colorado
HIBI Program.