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CALL US TODAY... 334-894-6322

PATHWAY PROGRAMS THIRD PARTY REPORTING FOR ALLEGED SEXUAL ABUSE/ASSAULT/HARASSMENT

Name of Juvenile Victim:

Name of the Facility?

Date of Incident:

Time of Incident:

Who was involved?

What Occured

Where did it occur?

How did it occur?

Any other pertinent information:

Reporters Name:

Reporter's email address:

Reporter's Phone Number:

Thank you for your submission.

Pathway, Inc.

P.O. Box 311206

Enterprise, AL 36331

admissions@pathway-inc.com

CALL US TODAY... 334-894-6322

CONFIDENTIALITY WARNING

This communication including any attachments is intended only for the use of the individual or entity named above. It may contain information that is privileged, confidential, and exempt from disclosure under law. Unauthorized re-disclosure or a failure to maintain the confidentiality of the information contained herein could subject you to penalties under state & federal law. If the reader of this message is not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, the reader is hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited, & may be subject to criminal penalties. If you have received this communication in error, please notify us immediately by telephone.

____________________________________
PATHWAY NOTICE OF PRIVACY PRACTICES (.pdf)

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