Ethics Consult Form

Michigan Speech and Hearing Association
Committee on Ethics Consult

Send to:

This format is designed to assist you in clarifying the issue(s) involved in your professional concern.

1)   What is the specific issue?


 2)   What are the details of the situation?



3) What actions or options have you considered or done thus far?  Outcomes?



4) How would you like us to assist you?


____Email or phone discussion to help you to consider the issues

Your preferred contact info:

Email___________________________________________                Phone_________________


______Provide resource or information