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Patient and Family Advisory Group Participation

With your help, our advisory group can enhance Marshfield Clinic Health System services

Apply to participate in our advisory group to help identify what we've done right, bring awareness to what needs adjustment and speak to what is most important to you. For more information, call the Patient Experience Team at 715-387-5300.

Full Name

Mailing Address

Email Address

Phone Number

I am (select all that apply):

A Patient
A family member of a Patient
Other, please specify below

I'd like to participate by (select all that apply):

Attending in-person meetings
Providing electronic feedback (example: Online surveys)

MCHS facility you'd like to provide input for:

What unique experiences and insights can you bring to the advisory group? Why do you wish to be involved with the advisory group?

*I verify this information is correct

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