New Online Payment
Existing Providers
- $125.00 application fee for background investigation for existing Providers
Providers Not Currently Practicing
- $25.00 administration fee for Providers who are Providers who are NOT currently practicing
*Please attach verification of payment with your application.
*Provider fingerprint/background fees are paid with the vendor.
Questions?
- Request a Provider Database Management System (PDMS) Account - Application 1's
- Questions regarding requesting a PDMS Account: Adrienne.Corday@state.co.us
- New Provider questions: Reggin.Palmitesso-Martinez@state.co.us
- Login Issues or questions: Yuanting.Zhang@state.co.us
For New Evaluators & Treatment Providers
1. You must complete a fingerprint process and background check. Fee is $49.50
- Colorado Fingerprinting - http://www.coloradofingerprinting.com - CBI Unique Code: 3906SOBI Fingerprint Reason: CONCJ3906
- IdentoGo - https://www.identogo.com - Service Code: 25YH45 Fingerprint Reason: CONCJ3906
2. APPLICATION 1 - FIRST APPLICATION FOR ASSOCIATE LEVEL -- For Associate Level Treatment Provider and/or Evaluator Request a Provider Database Management System (PDMS) Account Here. You will receive an email with a link to Active your account and begin your application.
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.
For Evaluators & Treatment Providers Who Want to Add an Additional Status
1. Fill out APPLICATION 1 - FIRST APPLICATION FOR ASSOCIATE LEVEL - For Associate Level Treatment Provider and/or Evaluator Request a Provider Database Management System (PDMS) Account Here. You will receive an email with a link to Active your account and begin your application.
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.
Applications for Existing Evaluators and Treatment Providers
1. Fill out the appropriate application:
- APPLICATION 2 - INITIAL THREE-YEAR ASSOCIATE AND/OR CHANGE OF STATUS APPLICATION -- This application is used for the following:
- Providers who have completed their first year listing and are ready to apply for their initial 3 year listing
- Providers ready to move to Full Operating Level prior to their renewal date (including DD/IS Specialty) or applying for Clinical Supervisor Status.
- Submit the $125 application fee
- APPLICATION 3 - RENEWAL OF CURRENT LISTING -- This application is used for the following:
- 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.
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.
- Application 1 - Request a Provider Database Management System (PDMS) Account Here. You will receive an email with a link to Active your account and begin your application.
- Application 2 - Initial Three Year or Change of Status
- Application 3 - Renewal of Current Listing
- Quality Assurance Protocol for Polygraph - Updated 8/2016
- Professional Supervision Agreement for Associate Level Polygraph Examiners (2020)
Has your information changed?
Please update all of your information on the Provider Database Management System (PDMS).