To become a Patient and Family Centered Care Advocates, complete application available below or contact Stacey Rush at (724) 223-3175.

Patient and Family Centered Care Application

Last Name
First Name
MI
Address
City
State
  • - Select One -
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  • West Virginia
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Zip Code
Home Phone
Mobile Phone
Contact Email
Re-Enter Email
Language(s) You Speak
I have been
Please check all that apply.
Please Describe
The care provided at Washington Health System Washington Hospital was primarily
Please check all that apply.
Please describe your experience with the above areas
What are some specific things that health care professionals did or said that was most helpful to you and your family?
What are some specific things that you or your family would like health care professionals to do differently in order to be more helpful?
Why would you like to be a Patient Family Advisor?
Do you have health care experience?
Please Describe
Do you have areas of special interest or expertise to offer?
Please Describe
I would be interested in helping with
Please check all that apply.
Please Describe
Please list when you are able to attend meetings
Please check all that apply.