Use this form to submit a reimbursement request for items purchased.

If you would like to request an item to be purchased by KindHealth (e.g., new mouse, keyboard, monitor, etc.) please submit that request through Shama.

Use this form after witnessing or experiencing any situation that could be deemed to be an Incident. "Near misses" should also be documented, with the intent that lessons learned could help prevent future Incidents from occurring.