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. Mistreatment, whether intentional or accidental, occurs when behavior indicates a lack of respect for the dignity of others and unjustifiably disrupts the learning process. Any form of mistreatment of students will not be tolerated. This form is used to diligently investigate and take appropriate action to address any abuse situation.

Ponce Health Sciences University adapts and incorporates the AAMC model of Standards of Conduct in the Teacher- Learner Relationship and encourages faculty and students to familiarize themselves and pledge adherence to this policy statement:

Preparation for a career in the healthcare profession demands the acquisition of a large fund of knowledge and a host of special skills. It also demands the strengthening of those virtues that are expected in the health provider/patient relationship and that sustain the health profession as a moral enterprise. This policy statement serves both as a pledge and as a reminder to teachers and learners that their conduct in fulfilling their mutual obligations is the medium through which the profession inculcates its ethical values.

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

By submitting this report of student mistreatment, you understand that:

1. Mistreatment 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 Mistreatment Reports very seriously.
3. We strive to protect all students.
4. It is possible to submit this form anonymously, although 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 matters and/or mandatory Title IX reporting."