Patient and Family Advisory Council

Join the Patient and Family Advisory Council at Phelps Health

You are invited to join the Patient and Family Advisory Council at Phelps Health. As a member, your input could potentially influence future hospital initiatives related to the patient experience.

  • Up to eight community members from Phelps Health's service area will serve on the council.
  • Members must have been a patient or family member of a patient at Phelps Health.
  • Members must be willing to serve on the council for at least one year and be available to meet once a month.

If you are interested in joining the Patient and Family Advisory Council at Phelps Health, or for more information, please contact Carlos Martinez at camartinez@phelpshealth.org, or complete the form below.

 

What is your preferred contact method?
If you are selected to be a participant, can you commit to attend one meeting each month from 11:00 AM to 12:30 PM for at least one year?
Are you willing to interview and be interviewed by another council participant?
Are you willing to consent to a background check if selected to be a member of the Patient and Family Advisory Council?
Are you willing to sign a confidentiality agreement and go through both the Patient and Family Advisory Council orientation?
In submitting this form, I agree to my information being used for the purposes of the Patient and Family Advisory Council. Any information I provide in this form about my patient history or treatment at Phelps Health may be seen by individuals who were not part of my patient care. I understand that information used or disclosed pursuant to this authorization may be disclosed by the recipient and may no longer be protected by federal or state law.

Call for an Appointment (573) 364-9000