FIRST Program Interest Form

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The best care is built in partnership with patients and families.

The Colorado Perinatal Care Quality Collaborative's (CPCQC) Family Integration to Restore Trust (FIRST) program invites people with lived experience to partner with CPCQC to improve pregnancy, postpartum, and newborn care across Colorado. FIRST participants volunteer alongside CPCQC, healthcare providers, and community partners to help shape tools, guide healthcare improvements, strengthen maternal health programs, and share their stories to help others learn and grow.

CPCQC is working on the initiatives below to improve care during pregnancy, birth, and after birth. Your experiences can help make this work stronger.

If anything below connects to your journey, we’d love to hear from you. However, we welcome connections to anyone interested in learning more about the program

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First Name: *

Last Name: *

Email Address: *

What county do you live in?

What is your preferred language for communication?

What falls closest to your experience? *

Perinatal Mood or Anxiety Disorder

Perinatal Substance Use

Intimate Partner Violence

Rural Perinatal Health

Provider Bias/Unheard by Care Team

Birth Transfer: Community Birth to Hospital Transfer and/or Rural to Urban Transfer

Infant Loss

Unexpected C-section/Diversion from Planned Vaginal Birth

NICU stay

Other:

Required

How did you hear about CPCQC?

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