AANS Professionalism Policy Complaint Form

The AANS policies regarding harassment, non-discrimination and professional behavior at meetings and courses have been established as guidelines setting forth expected and accepted behaviors for AANS members. These policies are a statement of ideals, commitments and responsibilities of members of the association with regard to fellow members, other health professionals and AANS staff. Compliance with these policies is required to maintain a member’s good professional standing within the AANS. The failure to comply with these policies may subject a member to professional discipline.

Date of submission will be 6/7/2023

Date of Alleged Incident:

The incident described below happened at either an AANS meeting or AANS-sponsored event.

Yes No

Name and location of Meeting or Event:

Description of the Alleged Incident:

Please include as many details as possible, including the name of the individual(s) involved, a description of the alleged harassment and/or disruptive behavior and the names of any individuals who witnessed such conduct, if any.

How would you like the AANS to contact you for a follow up?

Name: (Optional)

Phone Number: (Optional)

Email: (Optional)