How to Become a Participant

The PPC Forum is an interprofessional group. It is open to anyone interested in the array of communication issues that occur between patients and providers.

The PPC Forum is an action-oriented group, intent on making a difference. We strive to provide information and resources as well as welcome the ideas, activities and experiences of participants.

In 2009, we first met and since then the network has grown with a reach that extends across countries and continents.

To participate, all you have to do is fill out the form below.
You will then receive the agenda and minutes of our PPC Forum meetings.
Any questions, just let us know.

* First Name:
* Last Name:
* Email Address:
	Yes, please add me to the Participants email list.
Degree/Credentials:
* I am a:	Person with a communication disability (e.g. hearing, seeing, speaking, understanding, remembering) Patient Parent Caregiver Advocate Self-advocate Speech-language pathologist Nurse Physician Student Educator (Teacher, Professor) Researcher Interpreter Therapy professional (e.g. PT, OT, social worker, psychologist, etc.) Industry professional (e.g. AAC manufacturer, app developer, etc.) Other
* Other:
City:
State:
* Country:
	If you identify as a professional in patient-provider communication, tell us more about your work.
Work place / Organization:
Role:
Work Setting:	Clinic Hospital Home health Rehabilitation University Nursing home Private practice Schools Other
Primary job responsibilities:	Research Clinical Teaching Other
Population served:	Pediatric Adult Elderly College students Preschool Elementary or Middle school High school Other
Special Interests/Focus Areas:
	Major area(s) of interest:
Access to communication: challenges that occur in the following health-related contexts:	ICUs Hospital step down units Rehab Nursing homes Doctor's offices Disaster/emergencies End of life Other
Development of tools/ materials aimed at improving PPC:	Researcher Developer Other
How Tos?	Start a program in my facility Get Buy In from professionals Get Buy in from administrators Get Buy in from my colleagues Find funding to support program Measure effectiveness/impact of PPC program Other
Major Barriers I face:	Lack of Buy in Lack of materials/tools Lack of funding Time constraints Lack of information Lack of resources Feelings of Isolation Other
How did you learn about the PPC Forum?	friend/colleague conference publication social media employer online search other
Comments:
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