Form for Reporting Professionalism Concerns and/or Mistreatment

Note from the PRO, Mary Elizabeth Herring: “I want to reassure you that I value and respect the confidentiality of reporters and witnesses. It is extremely helpful to me to be able to consult with reporters for details and context. I encourage you to give your name—it is held in confidence and I will never act upon a report without consulting you, except in a situation where you cannot be reached and the threat of harm is serious and imminent or in the case of mandatory reporting, such as Title IX.”

  • This field is for validation purposes and should be left unchanged.
  • MM slash DD slash YYYY