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McLaren Health Care - Hospitals in Michigan|McLaren Greater Lansing|Patient and Visitor Information|Patient and Family Advisory Council

McLaren Greater Lansing
Patient and Family Advisory Council

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McLaren Grand Ledge Ambulatory Care Center
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Volunteer - McLaren Greater Lansing

Are you looking for a way to make a meaningful contribution in our community?

If you or a family member have had exposure to McLaren Greater Lansing services in the past 12 months, consider partnering with us to lend your voice to the patient experience. Our patients, families, and team member come together monthly to share ideas on current hospital issues and initiatives.

For more information, complete and return the form below to any McLaren Greater Lansing team members or contact the PFAC Facilitator at (517) 975-8958 or [email protected].

Patient and Family Advisory Council Application Form

The Patient and Family Advisory Council (PFAC) is a group of patients, family, and caregivers who meet monthly with health care providers from McLaren Greater Lansing (MGL). The group serves as a recommending body to inform MGL on patient-related facility issues in order to assist the MGL organization with its patient-centered focus.

Monthly meetings are held at McLaren Greater Lansing, 401 W. Greenlawn, Lansing. The ongoing meeting schedule will be made available to applicants who are approved for PFAC membership.

Note: Fields marked with an * indicates required field

Contact Information:

Date: *

Name: *

Address: *

City: *

State: *

ZipCode: *

Daytime Phone: *

Evening Phone: *

Fax:

Email Address: *

Please indicate preferred time to reach you: *

Daytime

Evening

What is your preferred contact method? *

Phone

E-mail

Text

Application Questions:

Please indicate: *

Adult patient

Family member or caregiver of an adult patient

Treatment: *

inpatient

outpatient

both

Experience with McLaren Greater Lansing (check all that apply): *

Surgery	Chemotherapy-Radiation Therapy	Hemodialysis
Lab-Radiology	Emergency Department	Hospital Stay
Outpatient Infusion	Obstetrical Services	Clinics
Other

If other, please name

Have you had more than one experience in the past 12 months with McLaren Greater Lansing? *

No

Yes

If yes, how many experiences have you had? *

Please indicate the date range of your experiences with McLaren Greater Lansing (check all that apply): *

1-3 months ago	4-6 months ago	7-9 months ago	10-12 months ago
more than 12 months ago

Have you ever been a member of /or acted as an advisor for any other program or organization? *

No

Yes

If yes, please identify and describe your experience with that program or organization:

Tell us about your experience with McLaren Greater Lansing’s services. *

Why would you like to be on the Patient and Family Advisory Council? *

Are there any particular issues regarding McLaren Greater Lansing’s care or service that you would like discussed? If so, please list. *

Please indicate your interest in participating in alternate committees and partnership opportunities with McLaren Greater Lansing. These experiences may include but are not limited to: online survey completion, committees such as Patient Experience, Patient Safety, or Process Improvement, or volunteer experiences at McLaren-sponsored events. *

Captcha*

McLaren Hospitals
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McLaren Greater Lansing
2900 Collins Rd
Lansing , MI 48910
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