Notice Informing Individuals AboutNondiscrimination and Accessibility Requirements and Nondiscrimination Statement: Discrimination is Against the Law
Hospice Care of Middletown, Inc.
3909 Central Avenue, Middletown, OH 45044
phone: 513-424-2273 fax: 513-424-5450
Hospice Care of Middletown complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Hospice Care of Middletown does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Hospice Care of Middletown:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
• Provides free language services to people whose primary language is not English, such as:
If you need these services, contact Beth McGuire, our Civil Rights Coordinator. If you believe that Hospice Care of Middletown 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: Beth McGuire, Hospice Care of Middletown, 3909 Central Ave., Middletown, OH 45044 (phone # 513-424-2273, fax # 513-424-5450, email: firstname.lastname@example.org). You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Beth McGuire 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, DC 20201, 1–800–868–1019, 800–537–7697 (TDD). Complaint forms are available at http:// www.hhs.gov/ocr/office/file/index.html.