The Council recognizes how important it is for providers and patients to work together to develop high-quality tools and resources. We are proud to have had patients as engaged members since our formation. As we continue to expand our initiatives, we are always looking to identify additional patient representatives to inform our work and provide the valuable insight that can only be obtained from hearing and learning from the diverse community of women we serve.

If you are interested in becoming a patient representative, please complete the form below to be considered for future initiatives.

Note: The content submitted in this form is not reviewed by care providers. If you have questions or concerns about your health please contact your health care care provider. 

  • Relevant correspondence will be sent to this address.
    Note: this is not meant to be an exhaustive list of potential topic areas.
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