MFP's Patient Advisory Board Application

Maine Family Planning is building a Patient Advisory Board that will provide feedback and insight to assist in evolving and improving patient care and communications, and advancing inclusion in all we do. We will convene cohorts in three hub areas across the state, including Lewiston, Belfast, and Presque Isle. We welcome patients who live within the surrounding regions to review this information and submit an application below!

MFP expectations for Patient Advisory Board members:
– Commit to one full year of service;
– Participate in at least two 3-hour long sessions in your region per year;
– Participate in at least one statewide gathering of PAB members in the year;
– Provide honest feedback;
– Treat all fellow PAB members with respect;
– Observe confidentiality when/as requested.

As a Patient Advisor, you can expect:
– A $50 stipend for each in-person meeting you attend;
– A meal at each meeting you attend;
– Gas cards to cover travel costs for each meeting you attend;
– Childcare provided as needed for each meeting you attend;
– The opportunity to provide feedback on patient care both directly and anonymously;
– Accommodations for disability and language needs;
– Opportunities to act as a community ambassador for MFP;
– Education in the areas of sexual and reproductive health, reproductive justice, messaging, and other topics as the group identifies need and interest.

If you have questions about this application or process, please contact MFP’s Associate Director of Public Engagement, Cait Vaughan, at cvaughan@mainefamilyplanning.org or (207) 350-4815.

MFP Patient Advisory Board Member Application
I have accessed health care services from at least one of Maine Family Planning's clinic sites within the past 3 years.
Please indicate which MFP clinics you have accessed within the past three years. (Check all that apply)
Please indicate which hub location cohort you’re applying to join. (Choose only one)
Please indicate when you have the most likely availability. (Check all that apply)
Our goal is to form cohorts that reflect a diversity of patient experiences. If you are comfortable indicating the type of service(s) you have accessed at MFP, please do so below. All information will be held confidential. (Check all that apply)
I support the full range of sexual and reproductive health care services being accessible to all people, including abortion and transgender-specific services.
I am willing to learn about and discuss the full range of services MFP provides, including abortion and transgender-specific services.
I have read and understand the expectations of a Patient Advisory Board member and am willing and able to meet the demands of this role. I would like to be considered for the position.