Unity Health Toronto Patient and Family Partner Application

Thank you for your interest in becoming a Patient and Family Partner at Unity Health Toronto.

For us at Unity Health Toronto, working with Patient and Family Partners provides an important opportunity to collaborate with interested individuals like yourself to learn from your valuable insights and create the best care experience possible.

There are so many ways to get involved. We will work with you to find a volunteer role that will work with your schedule.

We are looking for individuals who:

are at least 18 years of age
must reside in Canada
You are not currently employed by Unity Health Toronto
are a patient or a family member of a patient** who has received medical care at one of our Unity Health Toronto Sites (St. Joseph’s Health Centre, St. Michael’s Hospital or Providence Healthcare) within the past three years
enjoy working in partnership with others
are committed to help and want to make a difference
want to ensure the best care experience for all
commit to a one-year term with option to re-apply

**The term “family member” is used in the broadest sense and is determined by each individual.

As an organization, we are committed to including Patient and Family Partners who reflect the diversity of the communities we serve. We encourage applications from persons with disabilities, racialized persons, First Nations, Inuit and Métis people, people of all sexual orientations and gender identities, and others who may contribute to the diversity of our patient/client populations.

Privacy

Unity Health Toronto is committed to keeping your personal information confidential and secure.

We use this information to:

Check if you qualify for the PFP program
Help match you with the right opportunities in the program

Your information will be kept confidential and it will not be sold, traded or loaned to any other organization.

Estimated completion time for this application is about 10 minutes.

Why do you want to be a Patient and Family Partner at Unity Health Toronto?(Required)

How did you hear about the Patient and Family Partner program?(Required)

Unity Health Toronto website

Social media

Healthcare Provider

Another Patient and Family Partner

Hospital posters/postcards

Other

Please name

Please specify

Thank you for sharing your contact information with us. Please be assured that all your information will be kept private and will only be used for the purpose of providing information to you as a Unity Health Toronto Patient and Family Partner.

First name(Required)

Last name(Required)

Street name and number(Required)

City(Required)

Postal code(Required)

Phone(Required)

Email(Required)

The preferred/best way to get in touch with you:(Required)

Phone

Email

Any of the above

Best time to reach you:(Required)

Thank you for your interest in becoming a Unity Health Toronto Patient and Family Partner, and for completing this form. A member of the Experience and Engagement team will contact you once we have received your application. We will discuss next steps with you at that time.

Should you have any further questions about the Patient and Family Partner program at Unity Health Toronto, please email us at patientexperience@unityhealth.to.

Privacy

Unity Health Toronto is committed to keeping your personal information confidential and secure.

We use this information to:

Check if you qualify for the PFP program
Help match you with the right opportunities in the program

Your information will be kept confidential and it will not be sold, traded or loaned to any other organization.

I understand that my personal information will only be shared for the purpose of Patient and Family Partner selection at Unity Health Toronto and that it will not be shared for any other purpose without my permission.(Required)

Yes, I understand

This application was completed on:(Required)

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