At an AMIA event: If you are in immediate danger, contact the emergency number specific to the geographic location (911 in the U.S.), or the facility front desk in order to obtain the emergency number without delay.

If you believe a crime has been or is being committed, contact law enforcement.

This form is intended to be a means to report a Code of Conduct violation anonymously, or when neither an AMIA staff or Board member is present at an event. These messages may be read by the AMIA Board of Directors and AMIA staff members and are treated in a confidential manner.

Each report will be considered and tracked as a part of event history and general knowledge for the organization. Specific follow-up and next steps will occur in a timely manner based on the urgency of the situation, which is determined at the discretion of AMIA CoC representatives.

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* Your name (optional)

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* Email (optional)

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* Date of alleged Code of Conduct violation

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* Event or online forum name (AMIA affiliated only)

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* Details about the alleged violation, the complaint, parties involved, and what occurred.

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* Do you want to be contacted to follow up on the complaint?

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