We are committed to providing an environment free of discrimination, harassment and learner mistreatment. All members of our diverse community share responsibility for maintaining a positive learning environment and for taking appropriate steps to seek advice and/or address learner mistreatment when it occurs. Feedback regarding performance can be shared openly without concern for ridicule or reprisal.

NOTE: Users are strongly encouraged to use a private/incognito window to complete and submit the form. If you encounter difficulties, contact support@umanitoba.ca.

Name

While anonymous reports are accepted, the university's ability to respond may be limited if we cannot follow up with the person reporting. Reports will remain confidential.

College or Unit

College
College of Pharmacy
College of Nursing
Dr. Gerald Niznick College of Dentistry
College of Rehabilitation Sciences
Max Rady College of Medicine
Prevention of Learner Mistreatment
Note: Policies are available for review here - Medicine or Rady Faculty of Health Sciences.

Incident details

Using the check boxes below, please indicate the role(s) of those involved.

Clinical staff
University community

What happened?

Notice Regarding Collection, Use, and Disclosure of Personal Information and Personal Health Information by the University

Your personal information and personal health information is being collected under the authority of The University of Manitoba Act. The information you provide will be used by the university to report and investigate an incident and for communication with you regarding the incident unless submitted anonymously. Your personal information and personal health information will not be used or disclosed for other purposes, unless permitted by The Personal Health Information Act (PHIA) or The Freedom of Information and Protection of Privacy Act (FIPPA).

If you have any questions about the collection of your personal information or personal health information, contact the Access & Privacy Office (tel. 204-474-9462), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.