PFAC Membership Application Form

Hill Physicians Medical Group, Inc. (“Hill Physicians” or “Hill Physicians Medical Group”) is committed to high quality care to ensure patients (“Members”) get and stay healthy. Patient advisors play an important role to help shape the patient experience. If you are interested in participating as a patient advisor on the Hill Physicians Patient Family Advisory Council (PFAC), please complete this application and we will be in touch shortly. 

Please do not include any personal health or medical information in responses you provide in this application.