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Patient and Family Advisory Group Request Form

If you would like to engage with the HFHT Patient and Family Advisory Group (PFG), please complete the form below.

Your name and affiliation (name of clinical program, Board, committee, practice team etc.)

Date of Request

Your email:

Project Name:

Brief project description:

How will this project benefit patients and families in our community? How will it support the HFHT's Strategic priority of outstanding patient experience and outcomes?

How would you like PFG members to engage with your project? (Please check all that apply).

Complete a survey

Attend a focus group

Vet a new initiative/document/policy

Co-design a new/revamped initiative/policy

Other (please specify)

What level of engagement are you looking for with PFG members? (Please check all that apply).

Information (provide information)

Consultation (focus group, survey, meeting, vetting)

Involvement (workshops, influencing decisions)

Collaboration (committee, consensus building, project engagement with participatory decision making)

Empowerment (leadership roles, co-decision making)

Estimated amount of PFG time required for this project:

Other comments:

Form Builder

Patient and Family Advisory Group Request Form

If you would like to engage with the HFHT Patient and Family Advisory Group (PFG), please complete the form below.