STATEMENT OF NON-DISCRIMINATION AND ACCESSIBILITY TO HEALTH CARE SERVICES
North Ottawa Community Health System (NOCHS) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. NOCHS does not exclude people or treat them different because of race, color, national origin, age, disability, or sex.
NOCHS:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
o Qualified sign language interpreters
o Written information in other formats
• Provides free language services to people whose primary language is not English, such as
o Qualified interpreters
o Information written in other languages
If you need these services, contact Rachel Mitteer n at 616-842-3600.
If you believe that NOCHS 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: Rachel Mitteer, Patient Satisfaction Coordinator, 1309 Sheldon Road, Grand Haven, MI 49417. (Phone: 616-842-3600) (Email: rmitteer@noch.org). You can file a grievance in person, or by mail or email. If you need help filing a grievance, Rachel 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 509, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7679 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
LANGUAGE ASSISTANCE SERVICES FOR PERSONS WITH LIMITED ENGLISH PROFICIENCY
ATTENTION: If you have limited English speaking proficiency, language assistance services are available free of charge. Call 1-616-842-3600.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-616-842-3600.
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-616-842-3600
注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-616-842-3600
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-616-842-3600
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-616-842-3600
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-616-842-3600
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-616-842-3600
ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-616-842-3600
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-616-842-3600
注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-616-842-3600 まで、お電話にてご連絡ください。
লয্ করনঃ যিদ আপিন বাংলা, কথা বলেত পােরন, তাহেল িনঃখরচায় ভাষা সহায়তা পিরেষবা উপল আেছ। েফান করন ১-1-616-842-3600 ।
KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-616-842-3600
OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-616-842-3600
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-616-842-3600번으로 전화해 주십시오.
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ܢܿ ܘܬܼ ܝܠ ܒܼܿ ܩܕ ܢܘܿ ܬܝܼܨܡܵ ،ܐܝܵ ܪܵ ܘܿ ܬܐܵ ܐܢܫܠ ܢܘܿ ܬܝܼ ܡܙܡ ܿ ܿ ܿ ܸܗܼ ܐܟ ܢܘܬܚܐܼ ܢܐ :ܐܪܗܘܙ ܵܵ ܿ .ܵܵܿ ܵܵܵܿܿܿ1-616-842-3600