Thank you for your interest in improving the quality, safety, and experience of care at Children's Mercy. Please answer the following questions to complete the Patient Family Advisory Council (PFAC) application. Information shared in this application is on a secure server and will remain confidential
If you are filling out this application on a mobile device, please make sure your screen orientation is unlocked and turn your phone to the side (landscape mode) to complete the application.
Please create a New User account to apply by completing the User ID Field and Password Field below.
All items with ( * ) indicate a required field.