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Do you wish to remain ANONYMOUS for this report?
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If you want Froedtert Health, Inc. to know your identity, please complete the following:
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<script id="reportingScript" type="text/javascript" src="https://secure.ethicspoint.com/domain/media/en/gui/86230/reportingScript.js" charset="UTF-8"></script>
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Report - General Report |
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Please identify the person(s) engaged in this concern:
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ex: John Doe, Direct Manager; Unknown<br>
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Please tell us about your concern in the box below, provide as much detail as possible:
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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.
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<font color="#000000">Ex: Emergency Department, 3rd Floor Intesnive Care Unit, Lab, Internal Medicine Clinic, Non-Physical Location</font>
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<font color="#000000">Tuesday, May 3, 2022; Two weeks ago; Approximately a month ago</font>
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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.
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<span style="font-weight:normal;">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.</span>
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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.
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