Meeting Report Form

Name of Consumer Representative (Required)*
First Last
Email (Required)*
Name of Committee(Required)
Chair of Committee (Required)*
Area of Health (i.e. eHealth, cancer, safety and quality)(Required)
Months Covered by this Report i.e. (January to March 2015) (Required)*
What is the purpose of the committee? (Required)*
Name up to three things that happened at your most recent meetings that you would like to report to other consumer representatives and/or HCCA staff. (Required)*
Are there any consumer issues you would like to add to the agenda of the next Consumer Representatives Forum to discuss with your peers to gain a broader consumer perspective?
Are there any other issues you would like to discuss with HCCA staff?
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Last updated: 8/10/2018