Patient & Family Advisory Council

 

Thank you for your interest in the Patient & Family Advisory Council. We appreciate your time and your interest in helping us improve patient care.

Because it is important to us to obtain insights from a variety of perspectives, we are asking patients, family members, and others to join the council. Please complete this short questionnaire to help us understand how your background and experiences might fit with the council. A hospital representative may call you to discuss your interest.

If you have any questions or need this application in another form, please call 501-513-5915 or email [email protected].

Time Commitment: attend at least 8 out of 12 meetings per year for a term of two years. Meetings will be no longer than two hours. We do not expect you to have experience working in health care; we are interested in your experiences as a consumer of health care services.

 

Have you or any of your family members been hospitalized at Conway Regional Medical Center?*
Have you or any of your family members used outpatient services at Conway Regional Medical Center?*
Best time to receive calls:*
Best time for meetings:*
Age range:*
Would transportation or childcare be an issue?*
Would you be able to make a commitment of 2 years?*

Make an appointment.

Call 501-506-2747 or click the button.