Washington Regional Home
Bookmark and Share
Bookmark this page
Decrease (-) Restore Default Increase (+) font size
Washington Regional Medical Center Walker Heart Institute Northwest Arkansas Neuroscience Institute Senior Health Women and Children's Health Total Joint Center

Interact & Connect

Calendar of Events
Register for a Class or Event
Support Groups
E-Mail a Patient
Donate Online
Request an Appointment
Find a Physician
Contact Us

Client Agreement

Client Agreement

  1. It is my understanding that Faith in Action is an organization that provides volunteers to transport me to physician appointments, grocery store and essential errands, perform yard work, chore assistance, friendly visits, telephone visits and minor home repairs.
  2. I understand that if I need a service I will request the service by calling 479-463-7862 in Washington County and 479-273-3570 in Benton County at least five (5) days in advance of my need.
  3. I understand that all services are to be requested through the Faith in Action office, not the volunteer who is providing me service.
  4. I understand no payment will be accepted for the service provided.
  5. I also understand volunteers will not provide their personal phone number and volunteers will not witness legal documents or accept medication or care orders from physicians.
  6. I understand that if I need transportation I will wear a seat belt and I will not smoke in the automobile of the volunteer.
  7. I understand that if local schools are closed because of snow and ice there will be no volunteer services.
  8. I will advise the Faith in Action office if I will be using a cane, walker, wheelchair or have a need for additional assistance with my ambulation.
  9. I will provide an emergency contact name to the Faith in Action office and I will allow the FIA staff to confirm my appointment times and dates for me.
  10. I also understand that Faith in Action may discontinue my participation in Faith in Action at anytime and for any reason the Faith in Action team deems appropriate.
  11. I agree to follow the FIA guidelines for volunteer services.

Career Opportunities
Nursing Opportunities
Physician Opportunities

About Washington Regional

About Us
Hospitals, Facilities & Clinics
Maps & Directions
Volunteer Opportunities
Job Opportunities

 Washington Regional
 3215 N. North Hills Blvd.
 Fayetteville, AR 72703
 (479) 463-1000


Prevention and Wellness Programs
Helpful Links
Patient Stories
Interact & Connect: Online Tools


Quality and Recognition

Report to the Community
VHA Clinical Excellence Award 2014
Top Performer Joint Commission 2013
Best Hospital CitiScapes Magazine 2014
Celebrate Magazine Very Best 2014
Organ Donation Medal of Honor 2012



Privacy Statement
HIPAA Privacy Notice
Medical Release Form
Financial Assistance

Media Room
Site Map
Contact Us
Washington Regional Home Page
Medical Staff Services