Fred Hutch Patient and Family Advisor Application

In our commitment to provide world class care, Fred Hutchinson Cancer Center collects demographic information from all applicants to ensure broad perspectives and diverse representation are present within Fred Hutch’s patient population. Fred Hutch is committed to protecting your privacy and your information will remain confidential. If you have any questions or concerns regarding this application, please contact Katie Rehfield at

Fred Hutch Patient and Family Advisor Program Application

Thank you for your interest in volunteering with the Fred Hutch Patient and Family Advisor Program.

Contact info

I am a (check all that apply):
I am interested in volunteering as a (check all that apply):

Meeting availability

Select your availability to attend meetings and/or events Monday through Friday during the following times (check all that apply). All times are Pacific Standard.
Time frames:

Diagnosis and treatment

Patient care involved (check all that apply):
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