Become an Approved SOMB Provider

For New Evaluators & Treatment Providers

1.  You must complete a fingerprint process and background check. Fee is $49.50

  • To request information about the fingerprint process, contact Jill Trowbridge at jill.trowbridge@state.co.us or 303-239-4526.  Effective 9/24/2018 

2. Fill out APPLICATION 1 - FIRST APPLICATION FOR ASSOCIATE LEVEL -- For Associate Level Treatment Provider and/or Evaluator

3. Complete the following competency-based forms and assessments based on the type of listing you are applying for. Read the Competency Assessment Summary for additional guidance.

Submit completed application, forms, and assessment via email.

For Evaluators & Treatment Providers Who Want to Add an Additional Status

1. Fill out out APPLICATION 1 - FIRST APPLICATION FOR ASSOCIATE LEVEL - For Associate Level Treatment Provider and/or Evaluator

2. Complete the following competency-based forms and assessments based on the type of listing you are applying for. Read the Competency Assessment Summary for additional guidance.

Submit completed application, forms, and assessment via email.

Applications for Existing Evaluators and Treatment Providers

1.  Fill out the appropriate application:

              1. Providers who have completed their first year listing and are ready to apply for their initial 3 year listing

              2. Providers ready to move to Full Operating Level prior to their renewal date (including DD/IS Specialty) or applying for Clinical Supervisor Status.

2. Submit the $125 application fee by check, money order or cashier's check made out to the Colorado Department of Public Safety (not required if you are applying to change a status prior to your renewal date).

  • APPLICATION 3 - RENEWAL OF CURRENT LISTING -- This application is used for the following:
    1. For Associate and Full Operating Level Treatment Provider, Evaluator, and/or Clinical Supervisor applying to continue their status after their initial 3-year listing

3. Complete the following competency-based forms and assessments based on the type of listing you are applying for. Read the Competency Assessment Summary for additional guidance.

Submit completed application, forms, and assessment via email.

For Polygraph Examiners

Please use the following forms to apply, re-apply, move up to full operating level, and/or comply with quality assurance requirements.

Submit completed application, forms, and assessment via email.

Has your information changed?

Please submit updates on the CHANGE OF INFORMATION FORM to a Standards Coordinator, Raechel Alderete or Erin Austin. Please ensure this is completed for an accurate listing on the SOMB Provider List.