Complete the appropriate application below and mail it, along with requested supplemental materials, to:

Ginger Smith
Chief Operating Officer (COO)
California Primary Care Association
1231 I Street, Suite 400
Sacramento, CA 95814

Phone: 916-440-8170 x 1096
Fax: 916-440-8172
gsmith@cpca.org

Community Clinics and Health Centers

Consortia and Association