ASA Online Complaints Form

Australian Sonographers Association Complaints Handling and Disciplinary Process

The Australian Sonographers Association (‘ASA’) is the peak body and leading voice for sonographers.

ASA Certified Sonographers and ASA Certified Student Sonographers are required to perform their role in line with the expectations set out in the Australian Sonographers Association’s Code of Professional Conduct (‘the Code’). The ASA’s Disciplinary Committee oversees the enforcement of the Code.

Please complete this form if you wish to make a complaint about a Sonographer. The ASA will utilise the information within this form only to resolve your complaint, and within the guidelines set out in 'Complaints Handling and Disciplinary Process: Information for Complainants and Respondents'. All sections are mandatory. Incomplete forms will not be accepted.

Section 1: The Complainant

Please provide details of the person making the complaint (the Complainant)

Residential Address

Mailing Address

Same as Residential Address (above)

Telephone

Are you (the Complainant)

The Patient (proceed to section 3)
A colleague or peer of the sonographer (proceed to section 3)
The patient's parent or legal guardian (proceed to section 2)
A relative or friend of the patient (proceed to section 2)

 

Section 2: The Patient

Please provide details of the patient who underwent the ultrasound examination

Residential Address

Mailing Address

Same as Residential Address (above)

Telephone

 

Section 3: Details of the Sonographer or Student Sonographer about whom the complaint is made (the Respondent)

 

Section 4: The Complaint

Details of the complaint

Please make your description factual, with as much detail as possible, including dates, times, location, witnesses (with their consent). It is important that you include all information that is relevant so that your complaint can be accurately assessed.

Have you taken any steps to remedy the incident?
Yes    No
What would you like to happen as a result of your complaint?

Other Authorities

Have you made this complaint to any other person or organisation?
Yes    No

Privacy Notice

The ASA adheres to the National Privacy Principles contained in the Privacy Act 1988 (Clth). In submitting this form you should understand that you are submitting a formal complaint to the ASA. You are asking that the ASA investigates this complaint. You should understand that your complaint (and any supporting documents) will be sent to the person you are complaining about (the respondent) and any witnesses who might assist the ASA with its investigation. By submitting this complaint you give permission for the respondent (and if applicable, any relevant person and/or witnesses) to provide the ASA with any relevant information regarding your complaint, which might include personal and sensitive information about you. Personal and sensitive information will only be collected and used by the ASA to the extent that is necessary to fully investigate your complaint and decide on an appropriate course of action.

You should understand that the ASA, upon investigating your complaint, may decide that a course of action which is different to your preferred outcome is appropriate.

If you have concerns about the collection, use or disclosure of personal information please contact the ASA via regulation@a-s-a.com.au.

 

 

By clicking on the Submit button below, you will be lodging your complaint.

Submission of this form online will replace your signature. The ASA will acknowledge receipt of this form. If you have not been contacted within 10 working days, please contact regulation@a-s-a.com.au as it may mean that your complaint was not delivered successfully.

A printable version of this form will be emailed to the email address provided on submission of this form. An option to download will also be available.

 


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