Healthicity Audit and Compliance Solutions

LifePath Systems

Public Comment Form

Thank you for taking the time to complete a Comment Form. We are continually striving to improve services and welcome any and all feedback including general comments, compliments, and complaints.

If you are completing this form to file a complaint, please provide as much detail as possible.

Date observed or first noticed

Incident Location:

Who or what was affected?

Description of event(s) or concerns

Are you willing to discuss this issue with us further? Yes (Compliance or HR Team May Contact Me)No (Remain Anonymous - Do Not Contact Me)

Do you want to save a copy of this report to your device? YesNo

If you have left your contact information, you will be contacted within 2 businsess days.