Name *
Name
If you do not want to list your name, please write "anonymous" in first name and where you live as either "Israel" "West Bank" or "Gaza" in last name
give a title subject to your injustice report. For example, "Cultural Incompetence in Hospital X"
Please provide a detailed account that answers the following questions: 1) What injustice did you witness? 2) Where did/does the injustice occur? 3) How are you employed? (ex nurse, nurse administrator, nursing assistant) 4) How frequently have you witnessed/experienced this injustice? 5) Have you heard of the same injustice you have witnessed/experience occurring elsewhere in your hospital or area? Please note that accounts based solely on second-hand information (information you have heard from someone else) will not be considered for investigation.

A response will be given to inquiries in between 3-7 days.

If we choose to investigate, you may be contacted with more questions.