NICU Patient and Family Advisory Council Interest Form Questions? Email the UW Health Patient and Family Advisor Partnership Program or call (608) 826-9168 The NICU Patient and Family Advisory Council, made up of NICU family members from American Family Children's Hospital and UnityPoint Health - Meriter, helps us improve the family experience and quality of care at both locations. To receive more information about the NICU Patient and Family Advisory Council, please complete the form below and select the Submit button: Please do not submit urgent questions about your medical care through this website. If you are experiencing a life- or limb-threatening emergency, call 911. If your need is urgent, call your clinic for assistance. Name: Phone: Email: Address: City, State, ZIP I am a: (check all that apply) UW Health/American Family Children's Hospital NICU patient family (current or former) UnityPoint Health – Meriter NICU patient family (current or former) Why are you interested in becoming a member of the NICU Patient and Family Council?