White Mountain Regional Medical Center Notice of Non-Discrimination

White Mountain Regional Medical Center complies with applicable Federal and State civil rights laws and does not discriminate on the basis of race, color, national origin, religion, age, disability, marital status, diagnosis, disability, religious beliefs or moral conviction, or sex including pregnancy, sexual orientation, gender identity or sex stereotypes. White Mountain Regional Medical Center does not exclude people or treat them less favorably on the basis of the above-mentioned civil rights.

White Mountain Regional Medical Center:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:

o Qualified sign language interpreters

o Written information in other formats (large print, audio, accessible electronic formats, other formats)

• Provides free language assistance services to people whose primary language is not English, such as:

o Qualified interpreters

o Information written in other languages

If you need services, including reasonable modifications, appropriate auxiliary aids and services, contact any WMRMC staff 928-333-4368.

If you believe that White Mountain Regional Medical Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, religious beliefs, age, marital status, diagnosis, disability, or sex, including pregnancy, sexual orientation, gender identity or sex stereotypes. You can file a grievance with: Travis Trickey, Compliance Officer and Civil Rights Coordinator, 118 South Mountain Avenue, Springerville, Arizona 85938

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

Email – travis.trickey@wmrmc.com

Phone – 928-333-7339

Fax – 928-333-7164.

TTY 1-800-367-8939.

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, D.C. 20201

Phone: 1.800.368.1019, 800.537.7697 (TDD)

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

White Mountain Regional Medical Center Notice of Availability

Free Language assistance services and auxiliary aids and services are available to protect individuals with Limited English Proficiency (LEP)