Nondiscrimination & Grievance Policies
NONDISCRIMINATION POLICY
We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We provide reasonable disability modifications to individuals with disabilities.
We provide 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, etc.)
We provide free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
Reasonable Modifications: Women’s Care will provide reasonable modifications for qualified individuals with disabilities, when necessary to ensure accessibility and equal opportunity to participate in our programs, activities, services, or other benefits.
If you need these services, please contact:
Elisabeth Cooper, HIPAA Compliance Officer at Women’s Care
Phone: 541-868-9229
Mail: P.O. Box 70368 Springfield, OR 97475.
Email: wccomplianceofficer@nwsclinics.com
If you believe that we have 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 by submitting a grievance form to:
Elisabeth Cooper, HIPAA Compliance Officer at Women’s Care
Phone: 541-868-9229
Mail: P.O. Box 70368 Springfield, OR 97475
E-mail: wccomplianceofficer@nwsclinics.com
You may also file a complaint with:
U.S. Department of Health and Human Services, Office for Civil Rights (OCR)
File a Complaint: OCR Portal
Address: 200 Independence Avenue SW, Washington, D.C. 20201
Phone: 1-800-368-1019 / TTY: 1-800-537-7697
ATTENTION: If you speak English, free language assistance services and free communications in other formats, such as large print, are available to you. Call 1-541-868-9229. (TTY: 711).
ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas y comunicaciones en otros formatos como letra grande, sin cargo, a su disposición. Llame al 1-541-868-9229. (TTY: 711).
LƯU Ý: Nếu bạn nói tiếng Việt (Vietnamese), chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số 1-541-868-9229 (Người khuyết tật: hoặc trao đổi với người cung cấp dịch vụ của bạn.”
注意：如果您说 中文(Chinese)，我们将免费为您提供语言协助服务。我们还免费提供适当的辅助工具和服务，以无障碍格式提供信息。致电 1-541-868-9229.或咨询您的服务提供商
ВНИМАНИЕ: Если вы говорите на русский (Russian), вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону 1-541-868-9229. или обратитесь к своему поставщику услуг.
주의: [한국어] (Korean)를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. 1-541-868-9229. 으로 전화하거나 서비스 제공업체에 문의하십시오.”
УВАГА: Якщо ви розмовляєте українська мова (Ukrainian), вам доступні безкоштовні мовні послуги. Відповідні допоміжні засоби та послуги для надання інформації у доступних форматах також доступні безкоштовно. Зателефонуйте за номером 1-541-868-9229. або зверніться до свого постачальника».
注：日本語を話される場合(Japanese)、無料の言語支援サービスをご利用いただけます。アクセシブル（誰もが利用できるよう配慮された）な形式で情報を提供するための適切な補助支援やサービスも無料でご利用いただけます。1-541-868-9229までお電話ください。または、ご利用の事業者にご相談ください。
تنبيه: إذا كنت تتحدث اللغة العربية،(Arabic) فستتوفر لك خدمات المساعدة اللغوية المجانية. كما تتوفر وسائل مساعدة وخدمات مناسبة لتوفير المعلومات بتنسيقات يمكن الوصول إليها مجانًا. اتصل على الرقم 1-541-868-9229 أو تحدث إلى مقدم الخدمة”.
ACHTUNG: Wenn Sie Deutsch sprechen (German), stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie 1-541-868-9229 an oder sprechen Sie mit Ihrem Provider.“
ATTENTION : Si vous parlez Français (French), des services d’assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le 1-541-868-9229 ou parlez à votre fournisseur. »
หมายเหตุ: หากคุณใช้ภาษา (Thai) ไทย เรามีบริการความช่วยเหลือด้านภาษาฟรี นอกจากนี้ ยังมีเครื่องมือและบริการช่วยเหลือเพื่อให้ข้อมูลในรูปแบบที่เข้าถึงได้โดยไม่เสียค่าใช้จ่าย โปรดโทรติดต่อ 1-541-868-9229 หรือปรึกษาผู้ให้บริการของคุณ”
توجه: اگر (Farsi) فارسی صحبت می کنید، خدمات پشتیبانی زبان رایگان در دسترس است. همچنین، خدمات کمک و پشتیبانی مناسب به صورت رایگان برای ارائه اطلاعات در قالب های قابل دسترس در دسترس است. با شماره 1-868-9229-541 تماس بگیرید یا با ارائه دهنده خود صحبت کنید.
Notă: Dacă vorbiți limba română (Romanian), sunt disponibile servicii gratuite de asistență lingvistică. De asemenea, sunt disponibile gratuit servicii de asistență și asistență adecvate pentru a oferi informații în formate accesibile. Sunați la 541-868-9229 sau discutați cu furnizorul dvs.
Hubachiisa: Afaan Kushi yoo dubbattan (Cushite/Oromo) tajaajilli deeggarsa afaanii bilisaa ni argama. Akkasumas, odeeffannoo bifa dhaqqabamaa ta’een kennuudhaaf tajaajilli gargaarsaa fi deeggarsa sirrii ta’e bilisaan ni argama. 541-868-9229 bilbili ykn dhiyeessaa kee waliin haasa’i.
ध्यान दें: यदि आप हिंदी बोलते हैं (Hindi), तो आपके लिए निःशुल्क भाषा सहायता सेवाएं उपलब्ध होती हैं। सुलभ प्रारूपों में जानकारी प्रदान करने के लिए उपयुक्त सहायक साधन और सेवाएँ भी निःशुल्क उपलब्ध हैं। 1-541-868-9229 पर कॉल करें या अपने प्रदाता से बात करें।”
ATTENZIONE: se parli Italiano (Italian),sono disponibili servizi di assistenza linguistica gratuiti. Sono inoltre disponibili gratuitamente ausili e servizi ausiliari adeguati per fornire informazioni in formati accessibili. Chiama l’1-541-868-9229 o parla con il tuo fornitore.”
ATENÇÃO: Se você fala Português do Brasil (Portuguese), serviços gratuitos de assistência linguística estão disponíveis para você. Auxílios e serviços auxiliares apropriados para fornecer informações em formatos acessíveis também estão disponíveis gratuitamente. Ligue para 1-541-868-9229 ou fale com seu provedor.
សូមប្រុងប្រយ័ត្ន ៖ ប្រសិនបើអ្នកនិយាយភាសា កម្ពុជា (ខ្មែរ) យើងខ្ញុំមានផ្តល់សេវាជំនួយផ្នែកភាសា និងការទំនាក់ទំនងដោយឥតគិតថ្លៃ ក្នុងទម្រង់ផ្សេងទៀត ដូចជាការបោះពុម្ពធំ មានសម្រាប់អ្នក ។ សូមហៅទូរស័ព្ទមកលេខ 1-541-868-9229 ។
توجه: در صورتی که به زبان فارسی صحبت میکنید، خدمات کمک زبان رایگان و برقراری ارتباط رایگان در قالبهای دیگر مانند حروف چاپی بزرگ در دسترس شما میباشد. با
1-541-868-9229 تماس بگیرید.
ATENȚIE: Dacă vorbiți limba română (Romanian), aveți la dispoziție servicii gratuite de asistență lingvistică și comunicări gratuite în alte formate, de exemplu, cu caractere mari. Apelați 1-541-868-9229.
GRIEVANCE POLICY
Purpose
The purpose of this grievance procedure is to provide a clear and accessible process for individuals who believe they have been discriminated against by Women’s Care on the basis of race, color, national origin, sex, disability, or age in violation of Section 1557 of the Affordable Care Act (ACA).
We are committed to ensuring equal access to our services, and we will investigate and resolve all complaints of discrimination fairly and promptly.
Procedure
- Who can File a Grievance?
- Anyone who believes they have been subjected to discrimination based on race, color, national origin, sex, disability, or age by Women’s Care may file a grievance.
- How to File a Grievance with Women’s Care
- If you believe you have experienced discrimination or have concerns about our compliance with Section 1557, you may file a grievance with Women’s Care by completing the following steps:
- Submit Your Grievance in Writing:
- Complete the Grievance Form
- Describe the issue you are experiencing, including relevant details such as dates, names of people involved, and a summary of the discrimination.
Note: You may also submit your grievance by phone, in person, or via email if you need assistance in filling out the form. - What Happens After You File Your Grievance?
- You will receive an acknowledgment of receipt of your grievance within 5 business days of submission.
- We will investigate the grievance. Our investigation will include a review of the facts and any necessary interviews.
- You will be notified in writing of the resolution or any corrective actions taken within 30 business days of completing the submission.
- If you need accommodation (such as an interpreter or document translation), please let us know, and we will provide these services at no cost.
- You will receive an acknowledgment of receipt of your grievance within 5 business days of submission.
- Submit Your Grievance in Writing:
- If you believe you have experienced discrimination or have concerns about our compliance with Section 1557, you may file a grievance with Women’s Care by completing the following steps:
- How to File an External Grievance:
- If you do not feel your grievance has been resolved satisfactorily or wish to file a complaint directly with the U.S. Department of Health and Human Services, you may file with the Office for Civil Rights (OCR) at:
- U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue SW
Washington, D.C. 20201
Phone: 1-800-368-1019
TTY: 1-800-537-7697
Fax: 1-202-619-3818
Email: OCRComplaint@hhs.gov
Website: hhs.gov/ocr
- U.S. Department of Health and Human Services
- You can file a complaint with OCR online, by mail, or by email. Complaints to OCR must be filed within 180 days of the alleged discrimination.
- If you do not feel your grievance has been resolved satisfactorily or wish to file a complaint directly with the U.S. Department of Health and Human Services, you may file with the Office for Civil Rights (OCR) at:
- Confidentiality:
- All grievances and the information provided will be treated as confidential, except as necessary to investigate the complaint and resolve the issue.
- No Retaliation:
- We prohibit retaliation against any person who files a grievance or participates in the grievance process. If you feel you have been retaliated against for filing a grievance or for participating in the process, please notify us immediately.
- Training and Education:
- We will provide periodic training for our staff on Section 1557 requirements, including the grievance procedure and how to ensure non-discriminatory practices in our health programs and activities.
- Record Retention:
- Women’s Care will maintain the files and records relating to such grievances for at least three years from the date Women’s Care resolves the grievance.