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COVID-19 response, resources, recovery

Our organization

CHOICE (Community Health Organization Improving Care and Equity) is a nonprofit organization dedicated to promoting health equity, and improving healthcare access, outcomes, and systems of care. We collaborate with local healthcare providers, community partners, and Tribal health leaders to fund and support regional health improvement projects.

CHOICE is the Accountable Community of Health (ACH) serving the Central Western Washington region.


At the heart of ACHs is an unwavering commitment to health equity. Our goal is to ensure that everyone, regardless of their background or circumstances, has the opportunity to live their healthiest life. This means addressing disparities and championing fairness and justice in health, social, behavioral, and community services.

Our region

We serve everyone in the Central Western Washington region, which is home to unique and diverse communities in the jurisdictions of Thurston, Mason, Lewis, Cowlitz, Pacific, Grays Harbor, and Wahkiakum counties and the sovereign nations of the Chehalis, Cowlitz, Nisqually, Quinault, Shoalwater Bay, Skokomish, and Squaxin Island Tribes.

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Land acknowledgement

Every community owes its existence and vitality to generations from around the world who contributed their hopes, dreams, and energy to making the history that led to this moment in time. Some were brought here against their will, some were drawn to leave their distant homes in hope of a better life, and some have lived on this land for more generations than can be counted. Truth and acknowledgment are critical to building mutual respect and connection across all barriers of heritage and difference. 

CHOICE/CPAA acknowledges that its location and partners are on the homelands of Native peoples, who have lived in this region from time immemorial. In particular, we are grateful to the hospitality of the Chehalis, the Cowlitz Tribe, the Nisqually Tribe, the Quinault, the Shoalwater Bay Tribe, the Skokomish and the Squaxin Island tribe. CHOICE/CPAA expresses its deepest respect for and gratitude towards these original and current caretakers of the region.

As an organization and community supporting health, we acknowledge our responsibility to establish and maintain relationships with these tribes and Native peoples, in support of tribal sovereignty and the inclusion of their voices in our work. We also pledge that these relationships will consist of mutual trust, respect, and reciprocity.

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