Patient and Family Advisory Council (PFAC) Nomination Form

A PFAC Member Is Someone Who:

  • Seeks to be a part of improving the quality of our care for all patients and family members
  • Shares personal experience as a patient or family member that helps drive ideas, changes and improvements at all levels of the organization
  • Works with the clinic/hospital for either short or long-term commitments, depending on the project
  • Volunteers his or her time every month for one-hour meetings or gatherings.
  • Provides a voice that represents all patients and families of patients who receive care at University Health
  • PFAC Members partner with doctors, nurses, and healthcare administrators to help improve the quality of care for all patients and family members

If you would like to nominate a patient or family member, please complete the form below.

PFAC Nomination

Your Contact Information:
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Nomination Information
Please select nomination type:




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Would you like your nominee to know that you nominated them?

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