Reporting Concerns of Inappropriate Behaviour Form

Reporting Concerns of Inappropriate Behaviour Form
If there is an emergency where there is immediate risk of harm or a crime is happening now, contact Police on Triple Zero (000).

Where a crime may have been committed, contact police on 131 444 or report anonymously to Crime Stoppers on 1800 333 000.

For advice or for concerns about the safety or wellbeing of a child, contact the Advice and Referral Line (ARL) on 1800 000 123.
Use this form to report concerns of inappropriate behaviour by a staff member, volunteer, visitor, patient or other person within Tasmania’s health care services or premises.

It can be used by patients, families, staff or members of the public who may have experienced or observed behaviour that caused concern or may be inappropriate.

The types of behaviour that you might use this form to report include:
- Aggressive or violent behaviour
- Breach of healthcare rights
- Behaviours or interactions that cross professional boundaries (e.g., age-inappropriate or sexualised language, physical contact outside of clinical need, preferential relationships)
- Any sexualised behaviours or interactions with, or in the presence of a child
- Bullying and/or intimidation
- Sexual harassment
- Any other behaviour that you thought was inappropriate or caused you concern.
Feedback and comments about the Department of Health which do not relate to inappropriate behaviour should be submitted using our online feedback form.

Are you happy for us to contact you for further information if required?*
If yes, please make sure you have provided your phone number, postal address, or email address
Would you like us to reply to you?*
If yes, please make sure you have provided your phone number, postal address, or email address
Preferred Contact Method
Do you wish for your details to remain anonymous?*
Your Details
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Postal Code
Phone
Email
example@example.com
Are you

A patientFamily member or caregiver of a patientVisitorDoH employee/volunteer/contractor/studentMember of the publicOther - please describe

What next?

The Department takes all reports of inappropriate behaviour seriously. We will review what happened and why.

Privacy

Our staff are only provided with, or have access to, the information that is necessary for them to carry out their functions within the Department of Health. All staff are bound by confidentiality requirements.

Please note, there may be a need or requirement to disclose some or all of this information. In certain circumstances such as serious misconduct or potentially criminal behaviour, the Department has an obligation to disclose the behaviour to one or more of the following organisations:
- Tasmania Police
- Strong Families Safe Kids
- The Registrar to Work with Vulnerable People
- Australian Health Practitioner Regulation Authority (AHPRA)
For more information please refer to: Personal information protection statement | Tasmanian Department of Health
Do you consent to your name being provided to the organisations above?
More questions?

We acknowledge there is a lot of information requested in this reporting form. You have taken an important step in reporting to us, and we have staff available to discuss any questions and/or concerns you may have with the process.

Please contact us at doh.complaints@health.tas.gov.au and we will arrange an appropriate contact person for you via your preferred contact method.
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