AssistCare will make every effort to maintain the confidentiality of the reporter’s identity,
but there are times/cases where the individual’s identity may become known or may have to be
revealed to resolve the complaint/issue. Anyone, who in good faith, reports a suspected or
actual violation will be protected from retaliation. In addition to the form below, you may
also report a concern/complaint by calling 1-800-304-8268 or emailing firstname.lastname@example.org.
All communication will remain confidential as noted above. We appreciate your feedback.
Would you like to be notified of the findings of this concern, complaint and/or investigation? *
Please select the area(s) of concern related to your report: *
Please explain the details of your concern/complaint including names, dates, and any supporting evidence:
AssistCare offers a wide range of healthcare services to meet your needs. These can enable you to remain healthy and safe at home while recovering from illness, injury or surgery. With nurses on-call
24 hours a day, 7 days a week – we are there when you need us!