Patient and Family Advisor Application

Do you have ideas to help improve our hospital?  Apply to become a patient and family advisor.  

Advisors help us by:
  • Sharing stories about their hospital experience training sessions with nurses, doctors, and other hospital staff.
  • Helping to create materials and plans for improving healthcare quality and safety for all patients.
  • Providing input on how to improve our policies and care practices.
  • Giving feedback about their hospital stay.
  • Letting us know what went well and what we can do better.
You do not need any special qualifications to be an advisor. Once you are selected to participate on the advisory council, we will provide any training that you need.  Join us as we work together to make our hospital the best it can be!
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Preferred Method of Contact
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Are you a patient?
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When was your last care experience at this hospital?
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We recognize that our patient and family advisors have busy lives. Are you able to commit to being a patient and family advisor for 1-2 hours every other month?
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Are you available to serve as an advisor for 1 year? (You can still be an advisor if you answer no)
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What are your areas of interest? (check all that apply)
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