Pulse Center for Patient Safety Education & Advocacy

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Pulse Center for Patient Safety Education & Advocacy - Join us!

Pulse has grown over the last 25 years and are looking for volunteers to meet virtually and plan our future. If you are interested and can dedicate a few hours a month, please complete the information and someone will contact you. If you have questions please call Ilene Corina, BCPA, President, Pulse at 516-579-4711.

The Pulse mission is to raise awareness about patient safety through advocacy, education & support.

www.PulseCenterforPatientSafety.org

Last name

First name

Phone number

Please list all other business or volunteer associations to which you have an obligation.

Check any and all topics that you would be interested in joining. Check the boxes in order of your choices.

1st Choice

2nd Choice

3rd Choice

4th Choice

Outreach

Programs

Development / Fundraising

Social Media / Communications

Clear selection

Special talents or interests you are willing to share.

Have you been to any of the Pulse programs?

Yes, PACC

PACC more than once

Yes, PPS

PPS more than once

Yes, ACES

ACES more than once

Symposium in person

Symposium virtual

Other:

Please share any additional comments, questions you may have.

As a general rule, information shared, distributed and discussed at any time for Pulse CPSEA should be kept confidential until a formal and official document, program or product is released. Because information may change often, to avoid sharing misinformation or incomplete information, work done through Pulse CPSEA may not be shared or disseminated without proper authorization. Please initial that you understand and agree.

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