Mistreatment, Unprofessional Behavior or Safety Concern Reporting

To report mistreatment, unprofessional behavior or a safety concern, please complete the form below (identifying information is NOT required). Please include as much detail as possible about the situation (i.e., who, what, when, where, why, and how), so we can better address your concerns. If you leave your contact information, you will receive follow-up communication to your concern.

When this form is used, we guarantee that no identifying information such as IP address or workstation ID is captured, and you will remain anonymous, unless you choose to provide your name.

The information submitted is sent directly to James Porter, Associate Dean for Student Affairs & Admissions.

Name (Optional)

Email Address (Optional)

Program*

Campus (MD only)

Student Year (MD only)

Date(s) of Issue

Description of the Mistreatment or Safety Concern*

Contact Directly

I would prefer not to describe my concerns in writing and would like Dr. Porter to contact me directly.

For this process to occur, please be sure to include your contact information on this form.

Desired Resolution of Concern

Steps Already Taken to Address Concern