An independent program
of the

Institute of Medicine of Chicago

Made possible by the generous support of the
Otho S. A. Sprague Memorial Institute

Project and other support
provided by

our generous partners


  Join the CPSF










How to contact us:

Chicago Patient Safety Forum
332 South Michigan
Suite 525
Chicago, IL  60604

Leonard Lamkin
Executive Director

Lamkin_cpsf@iomc.org

Steven Maxwell
Executive Assistant

cpsf@iomc.org

Phone: 312-431-9110
Fax: 312-431-9115

Get directions to CPSF


CPSF Logos for download

 

If you would like to become involved with the CPSF, please do the following:

        1. Indicate your preferred membership category.
            (click here for descriptions)
        2. Indicate any CPSF special initiatives in which you are interested.
            (click here for descriptions)        
        3. Indicate any service areas in which you may be interested in assisting
            CPSF.
        4. Fill in your contact information.
        5. Indicate if you would like to make a donation to CPSF after you submit your
            membership information.
        6. Press submit.

This information will be used to notify you of CPSF meetings, workshops, and initiatives that may be of interest to you. It is gathered for the express use of the CPSF. We will not sell, rent, or otherwise distribute this information. CPSF primarily communicates through email. Please add cpsf@iomc.org to your email safe list.

* Required Fields

Membership
Category
Special Initiatives
(check all that apply)
Service Area
(check all that apply)
Salutation
*First Name
Initial
*Last Name
Degree(s)
*Title
*Organization
*Address Location Work    Home
*Address 1
Address 2
*City
*State
ZIP
Phone
 Ext: 
Fax
*Email
Alternate Email
Optional Demographic Information
Sex:
Male    Female
Enthnicity:
Primary Professional Association (CMS, IHA, IPhA, etc.)
 
Comments

Please use this space to identify how you may assist CPSF: be an expert speaker, volunteer meeting facilities, submit resources or case studies, identify funding, consumer and media partners, etc.)
 
How did you hear about us? Friend/Newspaper/Magazine/Radio/Television/Web Site
 

    

 




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