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Mauer Eye Center and Mauer Vision Center provide this form as a service to its directors/trustees, officers, managers, employees, medical staff, contractors, volunteers, patients, and family members to confidentially report information regarding suspected misconduct, fraud and abuse, or any other legitimate concerns.

Information provided on the form is treated confidentially and privileged to the extent permitted by applicable law.

If you wish to remain anonymous, you need not enter your name or email address.