Patient and Family Advisors Community Membership

Discounted membership is open patient and family members who serve formal roles as patient and family advisors. To apply for the discounted PFA membership, please complete the application below. The application will be reviewed, and approved applicants will be contacted to complete their membership.

For additional information on PFA membership or further questions, please contact info@theberylinstitute.org.

Your Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Eligibility Verification(Required)

I currently serve as a Patient/Family Advisor for a healthcare organization.

Please list the organization you serve with and in what capacity (PFAC member, etc.)(Required)

Please provide the information below for your primary contact at the organization with which you serve.

Staff Contact Name(Required)

Staff Contact Email Address(Required)