Thank you for completing this Request for Information. IAHSS is gathering healthcare incident reporting company information. This information will be used to communicate information relating to the IAHSS Incident Category Guideline, Framework, Glossary of Terms and the Data Warehouse.  

Please provide the company contact information for incident reporting companies below.

1.Incident Reporting Company Contact Information:

Incident Company Contact Name

Incident Company Name

Incident Company Contact Email Address

Incident Company Contact Phone Number

2.If you DO NOT use an incident reporting system, please share the system you do use. Examples: Microsoft Access, Excel, etc.