Partnership Impacts Submission Form

Your stories help guide our future work and serve as a meaningful way patient partners receive recognition, feedback and validation for their time and volunteerism. Please contact your local Engagement Leader if you have any questions.
Please note: All submissions will be subject to review and edits, following consultations between you and the BC Patient Safety & Quality Council team.
Health Care Partner Name * Required
Email (Health Care Partner) * Required
Phone (Health Care Partner)
Patient Partner(s) Name * Required
Email (Patient Partner) * Required
Phone (Patient Partner)
Who is submitting this form? * Required
- Health Care Partner
- Patient Partner
This field will let us know who to send the confirmation email to.
Which geographic region is your opportunity from? * Required
Title of Engagement Opportunity * Required
Link to Original Invitation to Participate (Optional)
Please describe the purpose/aim of the work you did together? * Required
How did the patient partner impact the outcome of the health care improvement work? * Required
Please share any quotes from patient/health care partners about their experience.
Would you be interested in sharing your experience in a presentation? (e.g. conferences, webinar, workshops) * Required
Additional Information
Do you authorize the BC Patient Safety & Quality Council to record you through interviews, photographs, sound recordings and/or video, and to use this footage for promotional and educational purposes? * Required
- Yes
- No
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. If you have any questions about the collection of your personal information please contact: Tammy Hoefer, Director of Patient and Public Engagement, at 1.877.282.1919.

From Our Community

Lucie Neliba

Patient Partner, Surrey

The Patient Voices Network has connected me to a community with the same drive to bring person- and family-centred care to the forefront. I am grateful for all opportunities I have been a part of thanks to PVN, which positively impacts patients like my sister and their caregivers. No matter how small, all patient engagement will help shape the future of health care and that I can stand behind