PVN Patient Partner Randomized Coffee Trials Sign-up Form

Name*
First Last
Email*
Geographic Region*
Home Community*
Please check the box below:*
- I provide consent for the BC Patient Safety & Quality Council to share my name and email address with Spark Collaboration for the purpose of facilitating connections between participating Patient Voices Network members. I understand that under no circumstances will the BC Patient Safety & Quality Council be liable to any person for any direct, indirect, special, incidental, consequential, or other harm based on interactions between participants. I understand that my participation is voluntary and that I have the choice to disengage from any uncomfortable communication and the option to end my participation at anytime.
This opportunity is open to oriented Patient Voices Network members who have signed the PVN volunteer agreement. If you have not completed the provincial orientation or signed the volunteer agreement, please complete those as soon as possible. The provincial orientation schedule can be found here and the volunteer agreement can be found here.
The BC Patient Safety & Quality Council will collect personal information via Word Press under section 26 (c) of the Freedom of Information and Protection of Privacy Act for the purposes of operating the Patient Voices Network. Personal Information submitted by volunteers will be saved and stored on file by BCPSQC for 5-10 years upon submission. If you have any questions about the collection of your personal information please contact: Tammy Hoefer, Director of Patient and Public Engagement, at 250-617-3855.

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From Our Community

Laura Klein

Clinical Practice Consultant in Fraser Health

Seeking the patient perspective doesn’t have to be complicated; it simply entails a commitment to ask and listen. Patient advisors not only bring a valuable perspective but also share original ideas and unique skills. Including the patient and family perspective changes the conversation and aligns the team’s focus towards common goals.