This channel is intended for reporting incidents, concerns, or potential violations related to Aesthetica Medical Travel operations.

Reports may include safety issues, ethical concerns, data privacy risks, or operational failures.

You may submit this form anonymously.

All reports are handled with confidentiality and reviewed under our Incident Response Policy.

How urgent is this situation? *

What type of issue are you reporting? *

Where did this happen? *

Who was involved? *

Please describe what happened (in as much detail as possible) *

What is the impact of this issue?

What would you like to see happen?

Would you like to remain anonymous? *

Yes

No

Is the patient currently safe?

Yes

No

Not Sure

Has emergency care been contacted (911 or local equivalent)?

Yes

No

Not Sure

First Name

Phone

Email

Do you have any supporting evidence?

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF Upload files such as photos, screenshots, documents, emails or any other report (optional)

I confirm that the information provided is accurate to the best of my knowledge.