Notice of Non-Discrimination
Discrimination is Against the LawHolton Community Hospital and Family Practice Associates complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Holton Community Hospital and Family Practice Associates does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Holton Community Hospital and Family Practice Associates:
Provides free aids and services to people with disabilities to communicate effectivelywith us, such as: Qualified sign language interpreters
Written information in other formats (large print, audio, accessible electronic formats, other formats)
Provides free language services to people whose primary language is not English, such as: Qualified interpreters
Information written in other languages
If you need these services, contact Holli Dieckmann, Compliance Officer.
If you believe that Holton Community Hospital and Family Practice Associates 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 with: Holli Dieckmann, Compliance Officer at 1110 Columbine Drive, Holton, KS 66436; phone: 785-364- 9653; fax: 785-364- 9612; or by email at: firstname.lastname@example.org. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Holli Dieckmann, Compliance Officer is available to help you.
You can also file a civil rights 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, 800-537- 7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.