Mt. Ascutney Hospital and Health Center Patient Family Advisory Council Application

If you want to become a Patient and Family Advisor at Mt. Ascutney Hospital and Health Center, please complete and submit the form below.


Or you may contact us by calling 802-674-7393 or by emailing MAH.PatientRelations@mahhc.org.

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Are you or have you been any of the following (check all that apply)