Thank you for your interest in serving on the Patient and Family Advisory Council (PFAC) at UofL Health. We appreciate your time and desire in helping UofL Health improve patient care. We do not expect you to have experience working in health care; we are interested in your experiences as a consumer of our health care services.

Please complete this form to help us understand how your background and experiences might fit with the council. A representative from the hospital may reach out to you to discuss your interest.

*Acknowledgement form of confidentiality to be signed upon approval of membership