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Published on Sep 28, 2013
Patient Advocate Form The Patient Advocate Form is a tool developed by the Institute's Patient Advisory Committee. Its purpose is to help people name a person(s) who can advocate or speak up and act on their behalf.
The tool provides some frequently asked questions and answers about what a patient advocate is, why use one, tips on selecting an advocate, and the difference between a patient advocate and a health care proxy. The form includes a checklist of tasks a person, as a patient, may want an advocate to do. This tool is a working document. The intent of this form is as an example to assist the public in expressing their wishes and is not intended to represent professional advice. The Manitoba Institute for Patient Safety invites feedback from the public on this tool's usefulness.