The Southwest Colorado Healthcare Coalition (SWCHCC) serves the 5 counties and 2 Indian Tribes of Southwest Colorado: Archuleta, Dolores, La Plata, Montezuma, and San Juan Counties, and the Ute Mountain Ute and Southern Ute Indian Tribes.  The SWCHCC exists to develop, enhance, and promote the region’s healthcare surge capabilities through communication, planning, training, coordination and collaboration with coalition partners for the delivery of safe and high-quality patient care during emergency events.  

By joining this list, you will receive information from the Coalition about meetings (dates/time, locations, agendas, and minutes), educational opportunities, and grant funding opportunities.  This list will also serve as a tool to aid in the response to a real event.  We will only share this information for the purposes of a response and with authorized agencies.

Please sign-up for more information and to join the SWCHCC.      

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* 1. First Name

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* 2. Last Name

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* 3. Title

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* 4. Organization Name

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* 5. Email Address

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* 6. Office Phone Number 

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* 7. Cell Phone Number

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* 8. Organization Mailing Address

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* 9. Organization Physical Address

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* 10. Organization Type.  Choose all that apply for your organization's services.

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* 11. Which county is your agency in?  If your agency serves more than one county, please select all that apply.

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* 12. Does your agency have more than one location / office?  If so, please list additional addresses below.

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* 13. 24/7 Contact Information

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* 14. Does your agency have access to an 800 MHz radio?

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* 15. Does your agency have access to WebEOC?

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* 16. Does your agency have access to EMResource?

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* 17. Do you have any other comments for the SWCHCC?

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* 18. Can we share your contact information publicly?  If yes, your contact information may be posted on the Coalition website.  If no, it will be only shared with the Steering Committee for coordination and response purposes only.  

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