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Join our Patient & Family Advisory Program

Thank you for choosing UCLA Health for your healthcare!

We would like to invite you to join the UCLA Health Patient & Family Advisory Program - a community of UCLA Health patients and families who are directly involved in evaluating and improving the UCLA patient and family experience. Patients and families are at the heart of everything we do. We are very interested in your participation and hope you will join us.

Patient Advisor Preferred Qualities:

  • Share their personal experience as patient or family member
  • Are motivated by helping us improve our services
  • See beyond personal experiences to the “bigger picture”
  • Are comfortable with expressing opinions in a group
  • Ability to listen to differing points of view
  • Ability to interact well with people of different backgrounds

How You Can Help

Please tell us a little bit about yourself by completing the questionnaire below.  If you are selected to move forward with the process, you will be invited to participate in discussions, in-person events, and other surveys on various topics related to improving the UCLA Health patient and family experience.

Once again, thank you for your interest in the UCLA Health Patient & Family Advisory Program!

The UCLA Health Patient Experience Team

 

    First Name

    Last Name

    Date of Birth

    Phone

    Email

    Where has the patient primarily received care?

    When did the patient receive care at UCLA Health?

    Which department(s) provided care for the patient? Please check all that apply.

    If other, please specify.

    Please tell us why you would like to be a Patient and Family Advisor (250 characters max).

    Please specify the PFAC you would like to join (if known):