New Privacy Incident

FIRST: Please contact the Purchasing Manager so a courier can be ordered to pick up and return the disclosed document to USF Health. Call 813-974-2552 or email
SECOND: Please complete the form below to report this privacy incident. If you have any questions, do not hesitate to contact the Professional Integrity Helpline at (813) 974-2222. or via email at
THANK YOU for reporting this incident. If we have any questions regarding your submission, we will reach out to you.

Basic Information



Detailed Information

If appropriate, attach a screen shot, photo, report, or other document to further describe this incident.

Please Identify Yourself