Patient & Family Discount Form - The Beryl Institute

Patient and Family Participation Discount

The Beryl Institute is committed to including patient and family voices in the dialogue around patient experience efforts. Members of Patient and Family Advisory Council Members and/or ePatients are eligible for subsidized conference registration rates at 25% off.

Patient/Family Scholarship Application

At The Beryl Institute, we believe the voices of patients and families are the most important for health leaders and practitioners to hear. They inform and guide practice and provide insights into how healthcare organizations can best operate to address quality, safety and service. To support engaging more patients and family members in the overall patient experience conversation, we are excited to offer a limited number scholarships to ELEVATE PX 2021 for patients and family members actively engaged in improving healthcare.

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Why are you interested in attending Elevate PX?(Required)

In-Person

Virtual Paticipant

Either

How do you expect your learnings from this event will help you further impact patient experience?(Required)

Are you an active member of a patient, family or resident advisory council?(Required)

Yes

Are you actively using social media to spread the word about the importance of experience?(Required)

Yes

Please provide any additional information we should consider when reviewing your application.