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RETIRED C3 Value-Based Primary Care Part II Education Survey
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1.
Full Name (Last Name, First Name)
(Required.)
*
2.
Email Address
(Required.)
*
3.
Provider Group
(Required.)
Other
Associates in Family Medicine
Champions Family Medicine
Children's Clinic of Pueblo
Christopher G Vialpando
CU Medicine
Dublin Primary Care
Family Care Specialists
Longs Peak Family Practice
Matthews Vu Medical Group
Mountain View Family Medicine
Parkview Ancillary Services
Pueblo Family Medicine
Southern Colorado Clinic
Steamboat Medical Group
Steel City Pediatrics
Stepping Stone Pediatrics
Theodore J Puls
UCHealth Family Medicine Center
UCHealth Medical Group
University Family Medicine
Yampa Valley Medical Associates
Yampa Valley Medical Center
Other
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4.
What is your degree?
(Required.)
MD
DO
PhD
PharmD
PA
RN
NP
Other (please specify)
