Consumer Health Council Application - Massachusetts Health Quality Partners

Consumer Health Council ApplicationJason Leistikow2025-10-15T19:37:59-04:00

MHQP Consumer Health Council Application

If you are interested in becoming a member of the MHQP Consumer Health Council, please complete the following application and we will be in touch.

Click here to learn more about how you can make an impact by joining the Consumer Health Council.

1. Applicant Information:

Name: *

Email address: *

Daytime phone: *

Where is your primary residence in Massachusetts? *

Greater Boston

Northeast Massachusetts

Central Massachusetts

Western Massachusetts

Southeast Massachusetts, Cape Cod, and the Islands

MetroWest

I live outside of Massachusetts

If outside Massachusetts, where is your primary residence?

2. Briefly explain your reasons for wanting to join MHQP’s Consumer Health Council. Please describe any relevant experience (including lived and/or professional), what you hope to gain from being on the Council, what you will bring to the Council, and anything else you would like to share. *

3. MHQP welcomes and values the diverse identities and lived experiences of our Council members. If you feel comfortable, please tell us about your background, identity, or anything else that helps us understand who you are.

4. How did you hear about MHQP’s Consumer Health Council?