Application Form - Become a Patient Family Advisor
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Anonymous Login Code:
Code Entry Page
Email
Note: Save this code which is required to update your response at a later time. This code is randomized differently on each page, and despite changing, will still go to the proper response and you only need to save one code.
Please select "Yes" or "No" for these four questions.
1.
Do you have experience as a patient, family member, or caregiver with any health care service within Nova Scotia Health?
*
-- Please Select --
Yes
No
2.
Are you currently an employee of Nova Scotia Health?
*
-- Please Select --
Yes
No
3.
Are you currently an elected official?
*
-- Please Select --
Yes
No
4.
Are you currently a member of any Hospital Foundation within Nova Scotia?
*
-- Please Select --
Yes
No