Mission to Care FHA HIIN PFE Learning Collaborative

Team Member Registration

Thank you for your interest in the FHA Patient and Family Engagement Learning Collaborative. Please provide us with the contact information for your team lead, and any team members that are interested in participating in this exciting new initiative of the Mission to Care FHA HIIN! Registration is available to all hospitals participating in the FHA HIIN, as well as to all FHA member hospitals.

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* 1. Team Lead Contact Information:

Name: *

Hospital / Health System: *

Title:

Email Address: *

Phone Number: *

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* 2. Do you have additional team members that you would like to register? Please include Name, Title, and Email Address below.

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* 3. Please help us plan future meetings. What content or topics would you like to have presented in an educational session or training in the future?

Click the Submit button below to complete your survey.
Thank You!