Notice for Nondiscrimination and Accessibility Requirements OCR

Notice for Nondiscrimination and Accessibility Requirements OCR

Humboldt General Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. HGH does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Humboldt General Hospital:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print), 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 Lisa Andre, Civil Rights Coordinator

If you believe that Humboldt General Hospital 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: Lisa Andre, Civil rights Coordinator, 118 E Haskell Street, Winnemucca, NV 89445, 775-623-5222, ext 1180, TTY 775-623-3019, FAX 775-623-5904, andrel@hghospital.org. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Lisa Andre, Civil Rights Coordinator 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
90 7th Street, Suite 4-100
San Francisco, CA 94103
Phone: (415) 437-8310
Fax: (415) 437-8329

TDD: (415) 437-8311Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

English:
If you speak a non-English language, call 1-800–368–1019 (TTY: 1-800-537-7697), and you will be connected to an interpreter who will

Español/Spanish:
Si usted habla español marque 1-800-368-1019 (o a la línea de teléfono por texto TTY 1-800-537-7697) y su llamada será conectada con un intérprete que le asistirá con este documento sin costo alguno.