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Need Help? Report an Incident

You Are Not Alone

Healthcare professionals, students, trainees, patients, and families deserve to learn, work, and receive care in environments that are safe, professional, and free from discrimination.

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AJMA continues to receive reports of antisemitism, anti-Zionist discrimination, harassment, intimidation, retaliation, and unprofessional conduct occurring in healthcare settings across the country.

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These incidents can affect patient care, workplace culture, educational opportunities, professional advancement, and personal well-being.

If you have experienced or witnessed conduct that concerns you, we encourage you to submit a report.

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​You do not have to navigate these situations alone. Through partnerships with organizations such as the Louis D. Brandeis Center, Anti-Defamation League, and StandWithUs, AJMA can help connect individuals with trusted resources, guidance, and support tailored to their circumstances.

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Need Immediate Help? 

If there is an immediate threat to safety, please contact 911, hospital or campus security, or your local law enforcement agency.

Please note that AJMA is not an emergency response service.

Why Report?

AJMA reviews every submission and may be able to:

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  • Provide guidance and support

  • Connect you with legal or advocacy organizations

  • Help document incidents and emerging trends

  • Provide educational resources

  • Engage institutional leadership when appropriate

  • Connect you with partner organizations and subject matter experts


Whether you are certain an incident occurred or simply have questions about a situation, we encourage you to reach out.

What Should Be Reported?

Examples may include:

  • Antisemitic comments, stereotypes, or harassment

  • Anti-Zionist discrimination directed at Jewish individuals

  • Retaliation for expressing Jewish identity or support for Israel

  • Hostile learning or workplace environments

  • Discrimination in admissions, hiring, promotion, or training

  • Professional societies engaging in discriminatory conduct

  • Political activism that interferes with patient care

  • Refusal to work with, teach, supervise, or treat Jewish individuals

  • Harassment through social media, email, or other communications

  • Concerns affecting patient safety or professionalism

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You do not need to determine whether an incident violates a law or policy before submitting a report.

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Submission of this form does not create an attorney-client relationship.

Incident Report Form


Section 1: About you

What best describes you?
Physician
Resident/Fellow
Student/Trainee
Nursing Professional
Allied Health Professional
Researcher/Faculty
Patient
Family Member
Other

Section 2: Confidentiality

How would you like AJMA to handle your report?
I am comfortable being contacted
Please keep my identity confidential whenever possible
I would like to submit this report anonymously

Section 3: Type of Incident

What best describes your concern?

Section 4: Location

Where did the incident occur?
Hospital
Medical School
Residency Program
Fellowship Program
Clinic
Research Institution
Professional Society
Conference
Online/Social Media
Other

Location can include a social media or other online site or in person location such as a hospital or medical facility.

Section 5: Incident Details

Is this incident ongoing?
Yes
No
Were you:
Directly involved
Witness to the incident
Reporting on behalf of someone else
Who was affected?
Did the incident affect patient care?
Yes
No
Unsure

Section 7: Supporting Information

Please upload any video, audio, images or documents you have to support this claim. For content that may disappear, please take a screenshot of both content and the profile associated with on the account.

Please upload any video, audio, images or documents you have to support this claim.

Please include a link to social accounts or posts or any online evidence to support your claim.

Please include a link to social accounts or posts or any online evidence to support your claim.

Section 8: What Are You Seeing?

How can AJMA best assist you?

Before You Submit

By submitting this report, you understand that:

  • AJMA will review all submissions.

  • AJMA may contact you for additional information.

  • Not all reports will result in formal action.

  • Submission does not create an attorney-client relationship.

  • AJMA may use de-identified information to track trends and improve advocacy efforts

I verify all the information I provided was accurate and described to the best of my ability.

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