Patient and Family Advisory Council for Quality and Safety (PFACQS) Application

MedStar Montgomery Medical Center

We require that Council members commit to a minimum six month term. The council will meet one time a month for a two-hour period. If you are interested, please complete the application below.

Contact Information

Name*

Address

Choose One:*
My care at MMMC was:
I have received and/or am willing to receive a Flu vaccination*

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