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342 Frey Street, Ashland City, TN 37015 ph 615-792-1199 fax 615-792-9331
DISCRIMINATION IS AGAINST THE LAW
Family Health Center of Ashland City complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Family Health Center of Ashland City does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Family Health Center of Ashland City 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)
Family Health Center 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, Administrator.
If you believe that Family Health Center of Ashland City 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:
Kathy Brown, Administrator
342 Frey Street
Ashland City, TN 37015
615-792-1199
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