Report Misconduct

If you are experiencing or witnessing workplace misconduct, theft, or fraud (including fraud, waste or abuse of healthcare benefits) you can use our anonymous reporting system to report it. This private, confidential channel allows you to make a report in a secure and anonymous manner if you wish. You can fill out the form below to report the misconduct.

If you decide to submit the report anonymously, Ethics Suite will not take any steps to identify you or provide your identity to your employer.

Each submitted report will be assigned a PIN number that can be used to check the status of the case or allow you to anonymously answer any questions regarding the report details. For more information on our anonymous reporting system, see the Ethics Suite Privacy Policy and Disclaimer.

For more information on Cherry Tree Dental workplace expectations, refer to the company's Employee Handbook and Code of Conduct.

* If this is an emergency, call 911 or the appropriate emergency services provider.

Which location? *

What are you reporting about? Include a detailed description of the issue here. *

Who are you reporting about (name, title/position and relationship)?

How did you become aware of it? *

Have you reported this issue before? *

How long has it been going on? *

Can you list specific dates?

Is this issue continuing to occur? *

Are there any witnesses or others with information about your report (name and contact information)?

Which one of these words best describes you? *

Do you want to remain anonymous? *

Yes No

What is your name?

What is your email address?

Please make a note of the unique PIN number you receive after successfully submitting your report. This PIN is required to access the Ethics Suite portal to check the status of your initial submission, provide additional information, or communicate anonymously with those reviewing your submission. PIN numbers cannot be retrieved or regenerated.

Although you have chosen to remain anonymous, you can still receive email alerts when your organization posts updates or follow-up questions, if you provide an email address. Ethics Suite will not share your identity or email address with your organization.

What is your email address?

I agree that I have read and understand the Ethics Suite Privacy Policy and Disclaimer.

* You will have an opportunity to upload supporting evidence on the next page.