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Please tell us the type of issue/incident that you want to report
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[webform_submission:values:please_tell_us_the_type_of_issue_incident_that_you_want_to_repor]
[webform_submission:values:please_tell_us_the_address_of_the_hmo_you_want_to_report]
[webform_submission:values:date]
[webform_submission:values:time]
[webform_submission:values:incident_descriptions]
[webform_submission:values:do_you_know_the_names_or_addresses_of_any_of_the_people_involved]
[webform_submission:values:people_involved_detail]
[webform_submission:values:incident_effect_detail]
[webform_submission:values:do_you_have_any_documents_or_pictures_to_upload_that_relate_to_y]
[webform_submission:values:full_name]
[webform_submission:values:contact_telephone_number]
[webform_submission:values:home_address]