EthicsPoint

ETHICSPOINT IS NOT A 911 OR EMERGENCY SERVICE.
Do not use this site to report events presenting an immediate threat to life or property. Reports submitted through this service may not receive an immediate response. If you require emergency assistance, please contact your local authorities.

* Yes - I agree to the Terms and Conditions of making this report.

Please provide information as follows:
( * Required fields )

Organization/Tier:	Froedtert Health, Inc.

* Is your relationship with Froedtert Health or ThedaCare?

* What is your relationship to the organization?

* Do you wish to remain ANONYMOUS for this report?

Yes No

You have chosen to remain anonymous. If you would like to receive an email when your organization posts follow-up responses to you, you may provide a personal email address. Your email won't be included with your report to your organization, but will be held by NAVEX, subject to NAVEX's Terms and Conditions. Providing an email address isn't required to make a report, but enables NAVEX to notify you by email of updates or follow-ups to your report.

Anonymous Email Address:

If you want Froedtert Health, Inc. to know your identity, please complete the following:

Your Name:


First Name	Last Name

Your Phone Number:

Your Email Address:

Best time for communication with you:

Report - General Report

* Please identify the person(s) engaged in this concern:

	First Name	Last Name		Title
#1			-
#2			-
#3			-
#4			-
#5			-

ex: John Doe, Direct Manager; Unknown

* Please tell us about your concern in the box below, provide as much detail as possible:

Please tell us:
-What happened?
-Anyone else that has knowledge of this concern who has not previously been named.
-Any other information that could be valuable in the evaluation and ultimate resolution of this concern.

* Where did this concern occur?

Tell us more about where this concern occurred?

Ex: Emergency Department, 3rd Floor Intesnive Care Unit, Lab, Internal Medicine Clinic, Non-Physical Location

Give an approximate date and time this concern occurred.

Tuesday, May 3, 2022; Two weeks ago; Approximately a month ago

How did you come to know about this concern?

Has this concern been reported before and if so, to whom and what happened?

Do you have a document, file, or any evidence that supports your report? Most common file types that can be included are: screenshots, emails, texts, letters, etc. If you have a document that you received in error, please store it in a secure location, you will receive further direction from Froedtert Health.

When you submit the report, you will be issued a Report Key and a password of your choosing.

Please write it down and keep it in a safe place.

We ask that you use this Report Key and password in the event you would like to return to your case in 5-7 days to review any follow up questions and/or submit additional information.

Please choose a password for this report:
* Password:
* Re-enter Password:
Your passwords must match and be at least four characters long.