General Information

To enroll in Turning the Tide (formerly known as CO AIM: SUD), please complete the form below. Once submitted, a member of the CPCQC Team will reach out to you with next steps.

Thank you for your interest in working with us to address perinatal substance use in Colorado!

If you have any questions, please reach out to info@cpcqc.org.

Enrollment for the 2025 Turning the Tide cohort closes January 23, 2025.

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* 1. First and Last Name of Person Completing the Enrollment Form

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* 2. Email Address of Person Completing the Enrollment Form

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* 3. Hospital Name (Please be specific with location and no acronyms)

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* 4. If your hospital is part of a larger system, which one?

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* 5. What Electronic Medical Record (EMR) system does your hospital use? (e.g. Epic, Cerner, Meditech)

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