DISCRIMINATION IS AGAINST THE LAW

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Family Health Center of Ashland City (FHCAC) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, sex, national origin, disability, religion, age, sexual orientation or gender identity.

FHCAC 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, 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 Kathy Brown.

If you believe that FHCAC has failed to provide these services or discriminated in another way on the basis of race, color, sex, national origin, disability, religion, age, sexual orientation or gender identity, you can file a grievance with:

Kathy Brown

342 Frey St.

Ashland City, TN 37015

615-792-1199

Fax: 615-792-9331

kbrown@fhcac.com

 

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Kathy Brown is available to help you.

You can 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

• By mail at

U.S. Department of Health and Human Services

200 Independence Ave. SW

Room 509F HHH Building

Washington, DC 20201

• By phone at 1-800-368-1019; 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html