The TriState Patient Safety Foundation and its sponsored programs are neither a hospital-developed solution nor a part of a national insurance strategy to address current medical liability insurance problems.

Rather this organization is a local southwest Ohio initiative led by your colleagues and designed to address the unique issues that we physicians face in our region.

To succeed, we need your help and ask that you do the following:

1. Join the TriState Patient Safety Foundation by sending us a check for $250. While the role of the Foundation will expand, initial proceeds will be used to begin the development of patient safety and risk management programs for you and our colleagues. Please make the check payable to TriState Patient Safety Foundation and mail it in the enclosed envelope.
2. Complete and return the questionnaire so that we can include you in our expanding communications network. We promise to keep you posted on developments involving the Foundation and TriMed.

If you have any questions, feel free to call us. Please return the questionnaire by mail,
e-mail, fax or by filling out our online form. Thanks for your interest and support.

Membership Form

Fill out the membership form online

Print the membership form and mail or fax it to us (PDF file, 210kb) * Requires Adobe Acrobat Reader