Chronic Care Collaborative - Centering and Elevating Voices
The Chronic Care Collaborative (CCC) represents all people in Colorado living with chronic conditions and their caregivers. We want to meet you where you are as best as we can. Your experiences interacting with healthcare providers, insurance, and systems of care are important in helping us understand what is, and is not, working for you.

All answers are confidential and will be used so the CCC can better learn about specific barriers to care and advocate for policies that improve access and affordability.

Sign in to Google to save your progress. Learn more
Email *
First Name
Last Name
Clear selection
What is your zip code?
I am answering as:
Clear selection
What type of health insurance do you currently have?
Clear selection
Please select topic areas in which you have experience personally or as a caregiver. Please select all that apply.
Learning more about first hand experiences with health care challenges helps us better advocate for policy improvements. May we reach out to you directly to learn more about your experience(s)?
Clear selection
If yes, what is the best way to contact you?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Chronic Care Collaborative. Report Abuse