Report a Safety Event about a Health Care Organization

Thank you for taking the time to share your patient safety concern or event. We take any information about one of our accredited organizations seriously.
Please complete the following to submit a safety concern or event:

Health Care Organization Information
Source Information

You have the option to submit your safety concern or event anonymously or you may provide your personal information if you wish to know the status of your submission.

Complete the information below if you would like Greenlife Healthcare Staffing to notify you about the status of your safety concern or event. Your name/identity as the source will be kept confidential.

Incident Information
Incident Description
Limit to 3 pages or around 15,000 characters*