RCM Anonymous Reporting Form

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RCM Anonymous Reporting Form

Thank you for taking the time to reach out to is. Your input helps the ability of our community to maintain accountability and transparency and improve our services and facility. Please use this form to anonymously report any incidents, comments, concerns, or suggestions.
*Please note* The disclaimer below is a standard google disclaimer, however, the settings have been changed on this form to render the responses anonymous

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Please describe the type of feedback you are reporting here.

I would like to report an incident.

I would like to make a comment or suggestion.

I have a concern I would like to express.

I have a question I would like answered.

Other:

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