The purpose of this form is to provide Ponce Health Sciences University students with a safe and confidential space to report any form of mistreatment they experience or witness while participating in educational activities. Any student has the right to submit to the Office of the Vice President for Student Affairs a written report of a concern or complaint of any violation of the PHSU policies and/or professional ethics without any retribution or consequences. Violation of PHSU regulations will not be tolerated. Verbal, psychological, or physical abuse such as speaking insultingly, engaging in schemes to undermine the self-esteem of the person; or any discriminatory practices or adverse activity will not be tolerated.

A Complaint is defined as any grievance regarding any department, service, or person that arises during a student’s time at PHSU. Examples include, but are not limited to the following:

• A student complaint against another student, faculty, resident, department, or service.
• A complaint from PHSU administration, faculty, or resident against any student.

An Informal Complaint is a complaint expressed either verbally or in writing to a relevant administrator or faculty, which is not dealt with through a formal process of the University. It may involve a discussion with relevant parties to receive information and explore options for resolving the matter. It does not involve a formal investigation or the determination of evidence.

A Formal Complaint is defined as a concern that has not been resolved informally, and which is then set out in writing, and forwarded to the Vice President of Student Affairs per the University’s Grievance Policy.

When completing this form, please include as many details as possible.

Once submitted, all reports of complaint will be evaluated as soon as it is received. If this matter requires urgent attention, please reach out directly to studentcomplaint@psm.edu or by sending a WhatsApp at 939-238-4710.

By submitting this report of student complaint you understand that:

1. Complaint reports are kept confidential, and their access is limited only to PHSU members who are necessary to reach a resolution process and or intervene in the situation.
2. PHSU takes Complaint Reports very seriously.
3. We strive to protect all students.
4. It is possible to submit this form anonymously. However, it is important to note that this restricts the ability to contact you and request additional information, which may hinder the resolution process.
5. There are extraordinary situations, where it is required to disclose the identity of the person who sent this form. For example: the imminent threat of causing serious harm to students or other persons, criminal ma/or mandatory Title IX reporting."