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INTERNATIONAL MEDICAL AID & CLINICAL PARTNERS

Adverse Incident Reporting

Submit a Report

Report safely and confidentially

International Medical Aid is committed to a safe environment for interns, staff, and patients. Use this secure form to report concerns, you may submit anonymously.

Confidentiality Commitment

Reports are reviewed by designated personnel and handled in accordance with our whistleblower and safety policies. If you choose to remain anonymous, your contact information will not be included in the report sent to our team.

Whistleblower Policy
Are you a current IMA intern?
Did the incident occur more than once?

Please provide all details regarding the alleged incident, including any information that could be valuable in the evaluation of this situation. Please take your time and provide as much detail as possible, but exercise care to not provide details that may reveal your identity unless you wish to do so.

Was someone from IMA Program Administration involved in the incident?
Has the incident been reported to anyone at IMA or anyone at your clinical site?
Has the incident been reported to anyone outside of IMA?
Were there any witnesses?
Do you give permission to share your contact information with IMA (waive your anonymity)?