Nondiscrimination Notice

Discrimination is Against the Law

Audubon County Memorial Hospital and Clinics complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101 (a)(2)) or sex, including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity, and sex stereotypes). Audubon County Memorial Hospital and Clinics does not exclude people or treat them less favorably because of race, color, national origin, age, disability or sex.

Audubon County Memorial Hospital and Clinics has adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. § 18116) and its implementing regulations at 45 C.F.R. pt. 92, issued by the U.S. Department of Health and Human Services.

Audubon County Memorial Hospital and Clinics:

Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services to communicate effectively with us, such as:

      • Qualified sign language interpreters
      • Written information in other formats (large print, audio, accessible electronic formats, other formats).
      • Provides free language assistance services to people whose primary language is not English, which may include:
      • Qualified interpreters
      • Information written in other languages

If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact the Audubon County Memorial Hospital and Clinics Compliance Officer at 712-563-5238.

If you believe that Audubon County Memorial Hospital and Clinics has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance in person, by mail or by phone with:

Melanie Larsen, Chief Administrative Officer, Civil Rights Coordinator, Compliance Officer
Audubon County Memorial Hospital & Clinics
515 Pacific Avenue
Audubon, Iowa 50025
Phone: 712-563-5238
Fax: 712-563-5277
Email: compliance@acmhhosp.org

If you need help filing a grievance, Melanie Larsen, Chief Administrative Officer, Civil Rights Coordinator is available to help you. You can also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at:  https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

    • U.S. Department of Health and Human Services

 

    • 200 Independence Avenue, SW Room 509F, HHH Building

 

    • Washington, D.C. 20201

 

    • 1-800-368-1019,

 

    • 1-800-537-7697 (TDD)

 

    • Complaint forms are available at

http://www.hhs.gov/ocr/office/file/index.html

Other Resources:

Nondiscrimination Accessibility Notice

HHS Section 1557 of the Patient Protection and Affordable Care Act

Arabic
ﻣﻠﺣوظﺔ:  إذا ﻛﻧت ﺗﺗﺣدث اذﻛر اﻟﻠﻐﺔ، ﻓﺈن ﺧدﻣﺎت اﻟﻣﺳﺎﻋدة اﻟﻠﻐوﯾﺔ ﺗﺗواﻓر ﻟك ﺑﺎﻟﻣﺟﺎن.ﻗ

Mandarin
注意：如果您使用繁體中文，您可以免費獲得語言援助服 務。

French
ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.

German
ACHTUNG:  Wenn  Sie   Deutsch   sprechen,   stehen   Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.

Danish
BEMÆRK: Hvis du taler engelsk, er der gratis assistancetjenester tilgængelige for dig.

Gujarati
ુચના:  જો  તમે  +ુજરાતી  બોલતા  હો,  તો  િન:2ુ3ક  ભાષા  સહાય  સેવાઓ તમારા માટ< ઉપલ?ધ છે.

Hindi
यान द: य)द आप ,हिदी बोलते ह तो आपके िलए मु;त म’ भाषा सहायता सेवाएं उपलAध ह।

Hmong
LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj.

Italian
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti.

Korean
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.

Polish
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.

Russian
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.

Spanish
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.

Tagalog
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.

Vietnamese
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

English
ATTENTION: If you speak English language assistance services, free of charge, are available to you.

 

10/29/2024