MSU Health Team Grievance

Title IX of the Education Amendments Act of 1972, as amended, and Section 1557 of the Affordable Care Act (ACA), and their respective implementing regulations, prohibit discrimination on the basis of sex (including but not limited to sexual harassment, sexual abuse, and/or sexual assault toward both men and women) in MSU HealthTeam’s services, programs and activities.   

Patients, employees, staff, and other individuals who have been discriminated against on the basis of sex (including but not limited to sexual harassment, sexual abuse, and/or sexual assault), in HealthTeam’s services, programs and activities, have the right to file a complaint. If the conduct may be a crime, individuals should also contact the MSU Police Department.    

Individuals may file a complaint for sex discrimination arising from HealthTeam’s services, programs or activities by completing the Complaint Form on page 3 and submitting the form via this portal, by email, or by delivering the form to MSU’s Investigation, Support and Resolution (ISR), MSU’s Title IX Coordinator, MSU’s Health Care Civil Rights Specialist, and/or the MSU Police Department.  

File A Report

This form should be used to report sex discrimination, including but not limited to sexual harassment, sexual abuse, and/or sexual assault in HealthTeam’s services, programs or activities. Complaints will be processed according to the procedures described in MSU’s Relationship Violence & Sexual Misconduct & Title IX Policy (PDF)

MSU Health Team Grievance Form (PDF)

MSU Health Team Grievance Form (Word)

Fill out form through Qualtrics (HTML)

MSU’s Health Care Civil Rights Specialist