Forms ADA Claim Form Example Assistant Surgeon Report Authorization for Treatment Form Direct Deposit and ACH Authorization Form Health First Colorado Dental Non-Covered Service Disclosure Form Health First Colorado Orthodontic Termination of Care Form Health First Colorado Orthodontic Continuation of Care Submission Form Health First Colorado Orthodontic Transfer Cases Health First Colorado Orthdontic Criteria Index Form - Comprehensive Treatment Health First Colorado Orthdontic Criteria Index Form - Interceptive Treatment Listing of Colorado County Departments of Human & Social Services Listing of Community Centered Boards (CCB) and Map Medical and Dental History Pediatric Oral Health Screening Form - For Dental Office Settings (Cavity Free at Three) Pediatric Oral Health Screening Form - For Medical Office Settings (Cavity Free at Three) Recall Examination Form Request for Transfer of Records Form