Community Advisory Board

Applications for Community Advisory Board Members are being accepted through February 29, 2020.

The Advisory Board’s purpose is to promote communication between OCH Regional Medical Center and the community and to help improve customer service at the Medical Center. Those selected will be asked to attend monthly meetings where they should bring questions, concerns and ideas from the community, as well as share their own input in an effort to help OCH better serve patients and guests.

Please fill out the application below, or download a hard copy here.

Community Advisory Board Application

Those interested in joining the Community Advisory Board should complete and submit the following application, as well as upload a brief letter of recommendation from someone in the healthcare field.

Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Employer (if applicable)
Age
Ethnicity*
Education
If you have family members who currently or have previously worked at OCH, please list their name(s) below:
Please tell us why you would like to serve on the community advisory board?*
If you have been or are currently a part of any boards, organizations or volunteer groups, please list below.
If someone asked you, “Tell me about OCH Regional Medical Center,” what would you say?*
Letter of Recommendation*
Max. file size: 50 MB.
As part of the application process, please attach a brief, one-paragraph recommendation from someone who works in the healthcare field. Please include the individuals name, signature and title.

THE OCH COMMUNITY ADVISORY BOARD is a representative group of volunteer members who live and work in and around Oktibbeha County and the surrounding counties serviced by OCH REGIONAL MEDICAL CENTER. The purpose of the Community Advisory Board is to improve and promote communication between OCH Regional Medical Center and the community by bringing questions, concerns and ideas from the community to hospital leaders and keeping the community informed of the hospital's goals and objectives.

Contact Us

Questions, concerns, or suggestions for the OCH Community Advisory Board? Fill out the form below. Please note, patient grievances should be mailed to: OCH Accreditation Manager P.O. Box 1506 Starkville, MS 39760

Name*
First Last
Date*
MM slash DD slash YYYY
Email*
Phone
Please leave your feedback here.*

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Community Advisory Board

Applications for Community Advisory Board Members are being accepted through February 29, 2020.

Community Advisory Board Application

Contact Us

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12

300+

40,000+

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