👀 Keep HSA in the Know

Use this form to let HSA know what’s happening in your department.

You can share concerns about your program, Program Director, department leadership, workplace culture, education or training, scheduling, your union representative, or anything else you think HSA should be aware of.

You do not need to know whether something is a formal union issue or grievance. This is simply a place to tell us what’s going on so HSA can better understand what residents are experiencing across departments and follow up when needed.
Department/Program
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name
Optional
Email
Optional -- Only needed if you would like HSA to follow up with you
Tell us what’s happening in your department.
Share as much or as little detail as you feel comfortable providing.
What does this concern involve? Select all that apply:

Other
Are other residents experiencing this too?
Would you like HSA to follow up with you?
A quick note: This form is not a formal complaint or grievance form. It’s simply a way to keep HSA in the loop about what’s happening in your department, share concerns or patterns you’re noticing, and help us stay connected to what residents are experiencing.

We’ll treat submissions as confidentially as possible. Filling out this form does not automatically start a grievance or formal process. If something feels urgent or may need immediate union support, please reach out to HSA directly so we can follow up with you.
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