Patient & Family Advisory Council (PFAC)

Animas Surgical Hospital is seeking patients, family, and community members to share their experiences, feedback, and ideas. Help us improve and continue to provide exceptional patient and family-centered care!

Question Title

1. Name

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2. Email Address

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3. Phone

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4. Preferred Method of Contact

Phone

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5. I would like to RSVP for:

Wednesday, February 12 (5pm-6pm)

Wednesday, May 14 (5pm-6pm)

Wednesday, August 13 (5pm-6pm)

Wednesday, November 12 (5pm-6pm)

Patient & Family Advisory Council (PFAC)

Question Title

* 1. Name

Question Title

* 2. Email Address

Question Title

* 3. Phone

Question Title

* 4. Preferred Method of Contact

Question Title

* 5. I would like to RSVP for:

Question Title

* 6. Please let us know if you have any special accommodations. (language services, food restrictions, etc.)

1. Name

2. Email Address

3. Phone

4. Preferred Method of Contact

5. I would like to RSVP for:

6. Please let us know if you have any special accommodations. (language services, food restrictions, etc.)