Thank you for your interest in joining the Johns Hopkins All Children's Hospital Patient and Family Advisory Council! Council members are essential partner's in JHM's mission to provide excellent patient and family centered care.
Johns Hopkins All Children's Hospital (JHACH) Patient and Family Advisory Council (PFAC) Volunteer Application
Contact Information
How did you hear about PFAC?
Patient Information
Emergency Contact
Care Experience
What areas provide care to you and your family?
Council Information
Confidentiality Agreement
Final Steps

Confidentiality: All information contained in this form is considered confidential and is intended for use by the Johns Hopkins All Children's Patient and Family Advisory Council Committee. The Committee will maintain appropriate and confidential handling of personal information as stated in HIPAA guidelines. Qualified applicants will be selected to participate in an interview. If selected, all Patient and Family Advisory Council applicants must complete Volunteer Services requirements as assigned by the Volunteer Services Department within 60 days of acceptance into the council. These volunteer requirements include, but are not limited to, TB test, immunizations, background check, HIPAA/compliance overview and Volunteer Services orientation/onboarding. I certify that the answers given by me are true, accurate and complete. I understand that by submitting an application, I am 18 years of age, I am applying for a patient and family advisor appointment, and that this is not an application for, or contract of, employment. If appointed, I will submit to all hospital requirements and take all required trainings where applicable. I understand that as an advisor, I will not be compensated for my time.