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Indian Health Service Misconduct / Substandard Performance Training Clearance Form DATE: TO:Director, Division of Workforce Relations and Policy, Office of Human Resources, FROM:(IHS Area Office)SUBJECT:
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01
Obtain the Indian Health Service misconduct form from the official website or local Indian Health Service facility.
02
Fill out your personal information accurately, including your name, contact information, and Tribal affiliation.
03
Describe the misconduct incident in detail, including what happened, when it occurred, and who was involved.
04
Provide any supporting documentation or evidence, such as witness statements or medical records, if available.
05
Sign and date the form to certify that the information provided is true and accurate.
06
Submit the completed form to the designated Indian Health Service office or contact person.

Who needs indian health service misconduct?

01
Individuals who have experienced misconduct or mistreatment while receiving healthcare services from the Indian Health Service.
02
Those who have witnessed misconduct or unethical behavior by Indian Health Service personnel.
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Indian Health Service misconduct refers to unethical or illegal actions by employees of the Indian Health Service, which may include fraud, abuse, mismanagement, or other violations of regulations and policies.
Any employee or representative of the Indian Health Service who witnesses or is aware of potential misconduct is required to file a report.
To fill out a report of Indian Health Service misconduct, individuals should provide detailed information about the incident, including the parties involved, the nature of the misconduct, the date it occurred, and any evidence or documentation supporting the claim.
The purpose of reporting Indian Health Service misconduct is to ensure accountability, uphold ethical standards, protect the integrity of the service, and promote safe and effective healthcare for American Indian and Alaska Native populations.
Reports of Indian Health Service misconduct must include the names of individuals involved, a description of the misconduct, the date and location of the incident, any witnesses, and any relevant evidence or documentation.
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