Arvada Healthcare Alliance Interest Form

The Arvada Chamber of Commerce is committed to Arvada having the healthiest workforce in all of Colorado. Through the Arvada Healthcare Alliance (AHA), we will seek opportunities to increase access and lower costs for businesses. This form will help us connect you to the correct partners and registration platforms to support your business!
1.Name
2.Company
3.Number of employees
4.Email
5.Phone number
6.Which of the below programs / providers are you interested in more information on?
The Arvada Chamber of Commerce (the “Chamber”) is not a provider of health care services or health insurance. The Chamber, through the Arvada Healthcare Alliance (“AHA”) acts as an administrator connecting Chamber members to healthcare service providers, such as Everside and Accresa (“Servicer Providers”). To the maximum extent permitted by applicable law, the Chamber (and the AHA) disclaims all representations, warranties and conditions relating to your use of this website, including without limitation, any implied warranties with respect to the quality, fitness for purpose and/or the use of reasonable care and skill of the Service Providers. By your use of this website and participation in the AHA, you agree to defend and hold harmless the Chamber, the AHA, and its members, Board of Directors, officers, employees and volunteers from any and all claims relating to your participation in the AHA or the services received from the Service Providers.

During your participation in the AHA, the Chamber will not collect any Personally Identifiable Information (“PII”) except your name, email address and phone number. By participating in the AHA, you agree that we may collect, use and disclose such information for the purpose of connecting you with the Service Providers. The Chamber may use the information you provide as part of the ongoing operation of the AHA, including activities such as oversight, quality control and responding to any concerns regarding this information. The Chamber will never sell any information collected as part of the AHA. If you do not agree with these terms, please do not provide your personal information.