Registration Form

Register below to attend this KHC HIIN introductory workshop to be held June 25, 2019, for patient and family advisor (PFA) and patient and family advisor council (PFAC) programs.  Contact KHC with any questions regarding your registration or the workshop at (785) 235-0763 x1321 or email

Note:  There is no registration fee.  Box lunches will be available for purchase onsite.

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* 2. Attendee information

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* 3. Please advise if special accommodation is needed.