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Non-Discrimination Statement

Hillsdale County Medical Care Facility (HCMCF) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

HCMCF does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

HCMCF 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 information written in other languages
• If you need these services, contact Denise Baker R.N.

If you believe that HCMCF 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:

Terry Esterline
140 W. Mechanic, Hillsdale MI 49242
517-439-9341, Fax- 517-797-4583

You may file a grievance in person or by mail, fax or email. If you need help filing a grievance, Terry Esterline can assist 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/smartscreen/main.jsf, or by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue
Room 509F, HHH Building Washington, 20201
1-800-368-1019, 800-537-7697 (TDD)

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

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