Compliance Incident Report

Reporter Information (Name, Phone number, Address – do not fill out if you would like to stay anonymous):

Please submit to the Compliance Officer at Western New York BloodCare:

Western New York BloodCare
Attention: Kimberly Heimback, Compliance Officer
1010 Main Street, Suite 300
Buffalo, NY 14202
kheimback@wnybloodcare.org
Phone: 716-218-4002
Fax: 716-218-4010