Patient Advisory Council Application

To apply for membership to the UMC Patient Advisory Council fill out the form below and then click “Submit.” You will be contacted with more information by a member of our team when your information is processed. Thank you for your interest in becoming part of this team.

*indicates required information

Have you recently been a patient at UMC Health System?

If “yes,” please indicate where you were a patient.

Would you be available to attend one meeting every quarter for the next year (2020)?

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