All members of the medical community (practitioners, professional staff, patients and fellow students) are invited to complete this form in the event of a significant concern about a medical student that you consider should be managed by the UQ Faculty of Medicine.

It may concern the student's academic progress, conduct and behaviour, and/or general welfare. The concern will be directed to the relevant staff member/s, and the student offered appropriate support and counselling.

Your report will have no direct bearing on the student's academic progress.

This webform replaces the earlier form known as a "Notice of Concern".

Referral for assistance form