Hotline Intake Form

You can use this web form to submit allegations for review by Cascade Regional Blood Services’ President and Quality Assurance department.

Please provide us with as many details as you can about the alleged misconduct, the people involved, and anyone whom you think can provide or supply more information.

While you can submit this form anonymously, doing so may limit our ability to conduct an investigation if questions only you can answer arise. If you do not provide your email address or some other form of contact information, we cannot respond to you. If you do choose to submit this form anonymously, please be verbose and provide as many details as possible. All fields are optional.

Your Name:

Your E-mail Address:

Your Phone Number:

Please use this area to give us a description of the Complaint:

Type of Complaint:

Description of Complaint:

Description and/or location of relevant evidence:

Please use this area to give us information about the people involved:

Name(s):

Contact Information:

Other Information:

Use this area to provide us with information about others that can provide more or supporting information:

Name(s):

Contact Information (email address, phone, etc):

Other Information:

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Serving Pierce and
South King Counties