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* 1. Please confirm that you wish to join the LCHS Patient and Public Voice Panel

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* 2. Please indicate below your preferred level of involvement by selecting all the options that are of interest to you.

The options indicate whether tasks can be undertaken virtually and whether recruitment checks and training are required. Please note that you can alter you involvement level at any time.

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* 3. Is there a particular LCHS service that you are interested in?
Please select all that apply

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