Treatment you need. Support you deserve.
Discrimination is Against the Law
Holton Community Hospital and Holton, Hoyt and Wetmore Family Medicine 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 Holton, Hoyt and Wetmore Family Medicine does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Holton Community Hospital and Holton, Hoyt and Wetmore Family Medicine provides free aids and services to people with disabilities to communicate effectively, 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 and information written in other languages
If you need these services, contact Holli Dieckmann, Compliance Officer.
If you believe that Holton Community Hospital and Holton, Hoyt and Wetmore Family Medicine 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: holli.dieckmann@rhrjc.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 https://www.hhs.gov/hipaa/filing-a-complaint/index.html.
This notice describes how medical information about you may be used and disclosed, and how you can obtain access to this information.
