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Client Incident Report

Use this form to report accidents, injuries, medical situations, criminal activities, traffic incidents, or behavior incidents.
If possible, a report should be completed within 24 hours of the event.
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Person Involved in the Incident

If same person as above click here
Choose a time
Location of Incident
Were there any injuries during this incident?
Were there any witnesses to this incident?
Were police notified of this incident?

Thanks for submitting!

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