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Patients & Visitors

PFAC Form

Downloadable PFAC Form

Click on the button to download the Patient Family Advisory Council (PAFC) form. If you have any questions, please reach out to Sister Joy Rose at 402.372.6713. When completed, please send this form to Sister Joy Rose, 430 N. Monitor St., West Point, NE 68788, Email: jrose@franhealth.org.

English Version - PFAC Form

Spanish Version - PFAC Form

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