Teammates: Please use this form to report any potential wrongful access, use, or disclosure of patient information. Fill in as many fields below as possible with a detailed description of how and where the incident occurred and by whom. Include contact information and MRN for the affected patient(s). The form will be automatically sent to the Compliance and Privacy Office for review and follow-up. You may be contacted for additional information or to take corrective action if needed.

Any urgent privacy matters should also be reported by phone to Joanna Spruill, Privacy Program Manager at (843) 203-2214.

Security incidents should be reported to the IT Help Desk at (843) 724-2920.

Registration or billing errors should be reported to the MPI team by contacting MPI_Team@rsfh.com