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Rules and conditions to apply for we protect you… You protect us
Dear health care practitioner, below are the rules and conditions that to apply for the service
1. Applicant must have a valid registration with the SCFHS.
2. Applicant must be exposed to verbal and physical assault, harassment or defamation only.
3. The complaint is against a non-health care practitioner.
4. The case must be occurred since 1 May 2018 and any case before that date will be rejected.
5. The abuse is linked to the health care practice and/or at his work place.
I read and accepted the conditions.
I do not accept the conditions
Health practitioner information
First Name:
Middle Name:
Last Name:
Registration Number:
Expiry Date:
Select a date
...
Mobile Number:
Ex : 966xxxxxxxxx
Email:
Repeat Email:
Gender:
Male
Female
Classification category:
City:
WorkSector:
Other:
Preliminary details and Details of the case
Have you been assaulted:
Yes
No
Is there any complaint filed against you:
Yes
No
Sorry you can not submit
Date of the incident:
Select a date
...
After current date
The incident occurred more than 30 days ago. This time duration (more than 30 days) may weaken the case
2018-05-01
Is the opponent another heath care practitioner who is registered at the SCFHS:
Yes
No
registered at the SCFHS
Reason for the assault, sexual harassment, defamation:
Kindly ensure that the reason for the incident is directly related to the practice, and/ or took place at the work place.
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Sorry, your complaint is not accepted for not complying with the conditions.
What is the nature of the complaint?:
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Do you have the information of the aggressor?:
Yes
No
Name:
works at:
Contact Information:
Other Information:
Complaint Description:
Witness Incident
Are there witnesses to the incident?:
Make sure to have written statements of the witnesses and have their contact information.
Yes
No
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Delete
Selected Filter:
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Name
Contact Information
Other Information
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Witness Reaction
Have you reacted to the assault:
Make sure that you don’t react in a manner that could be legally held against you. If you had reacted to the assault; consider that it could legally be held against you.
Yes
No
What was your reaction:
Please state your reaction clearly
Are there any witnesses to your reaction:
Make sure to have written statements of the witnesses and have their contact information.
Yes
No
Add
Delete
Selected Filter:
Quick Search:
Name
Contact Information
Other Information
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Action On Incident
Have you taken the necessary actions:
1. Inform the nearest police station, or the responsible security body at the health facility,
2. If there is any bruising, request a written medical report.
3. In case of defamation; documenting the fact of defamation.
Yes
No
Please state the measures taken and upload the documents:
Click here to attach a file
Any Action Taken Description:
Code verification
Please Check the Confirmation Code:
Submit
Clear
Your Application has been submitted successfully . Your request number is
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