Patient and Family Advisor Application Form

Thank you for your interest in joining Cascade Medicals’ Patient & Family Advisory Council (PFAC). The council will have an active role improving patient and family care experiences within Cascade Medical by gathering and providing feedback and perspectives on medical group plans, activities, and programs related to patient and family centered health care. 


  • Membership requires a minimum of 2year to maximum 3year commitment, with an opportunity to serve for 2 terms.

  • Members must be able to commit to attending monthly council meetings and possibly participate on committees and/or projects (some of which require daytime hours). Meetings are approximately once per month, 9-10 months a year.


If you are interested in this program, please complete the following application, and submit it to the Patient & Family Advisory Council for review. Selected applications will be contacted by the PFAC Staff Liaison to set up an interview and 2-3 weeks after the application deadline. 

Application Deadline: April 30th, 2023 

If you have any questions, please feel free to call or email: Jade Wolfe PFAC Staff Liaison, 509.699.3066 | [email protected] 

Preferred contact (check one)

The following questions will help us get to know you better. 

Please select all that apply below:

Are you a…
Which unit(s) provided care for you or your family member: (check all that apply)
We recognize that our patient and family advisors have busy lives. How much time are you able to commit to being a patient and family advisor? (Check one)

Mark all days and times you are available for Monthly PFAC meetings.

Please tell us how you heard about Cascade Medical’s PFAC:
Please select one of the following age groups you are in:

I certify that the statements made in this application are true and correct and have been given voluntarily. If selected, I understand that I will not be paid for my services as a volunteer member of the Patient and Family Advisory Council. I agree to abide by the guidelines of Volunteer Services, to respect patient confidentiality, and to uphold the traditions, values, and standards of Cascade Medical. I understand that completion of this application does not bind me, the applicant, in any way. Cascade Medical reserves the right to choose participants that best meet the needs of the Patient and Family Advisory Council. Before participating in the Council, I understand that I will be asked to sign a confidentiality agreement.

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