To ensure your concern is routed quickly and appropriately, please select the correct form:

• Submit a Compliance Report – For general compliance concerns, including suspected fraud, waste, abuse, or policy violations.
• Report a Patient Incident – For any event involving a patient that results in or could result in harm.
• Report an Employee Incident – For workplace injuries, safety concerns, or employee-related events.
• Report a HIPAA Breach – For any potential or confirmed breach of patient privacy or unauthorized disclosure of protected health information (PHI).