Compliance Concern Form
KDMC is committed to providing quality care to our patients while maintaining practices and programs that are consistent with the laws and regulations that govern our work. The Compliance Concern Form (CCF) is an online tool for you to communicate any question or concern to the KDMC Corporate Compliance Officer for further investigation.
Please complete the form below providing all relevant information with as much detail as possible. You may choose to remain anonymous; however, anonymity may hinder our ability to follow-up with your concern or question. This submission will be reviewed within 14 days of receipt. If you provide contact information, you will be contacted with follow-up information. Please contact Paula Willis (606-408-0161), Corporate Compliance Officer, at firstname.lastname@example.org or Mona Thompson (606-408-4496), Vice President/Chief Compliance Officer, at email@example.com
You also may report anonymously through the Corporate Compliance Hotline: 606.408.4145 or 1.877.327.4145.