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:	Vaya Health
Location where incident occurred:	Physical address, branch and/or store number
City:	State/Province:
Zip/Postal Code:
Country:

* 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 Vaya Health 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:

* What is your relationship to Vaya Health?

Report - Compliment

If you have a document or file that supports your report, most common file types can be uploaded:

* We are so glad you have a compliment to share! Please provide as much detail as you want. It would be easiest for us to share your compliment if you can give us the following information: name of the person you are complimenting, the date of and the circumstances of the compliment.

When you submit the report, you will be issued a Report Key. Please write it down and keep it in a safe place. We ask you to use this Report Key along with the password of your choosing to return to EthicsPoint through the website or telephone hotline in 5-6 business days. By returning in 5-6 business days, you will have the opportunity to review any Follow-up Questions or submit more information about this incident.

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