Faith Regional Health Services | living WELL | Spring 2018

Nondiscrimination Policy at Faith Regional Health Services Discrimination is Against the Law The information below is a requirement of Section 1557 of the Affordable Care Act. It is provided to help people who may need assistance with the English language or translation to a different language. Faith Regional Health Services complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Faith Regional Health Services does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Faith Regional Health Services: • 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, call (402) 644-7145. If you believe that Faith Regional Health Services 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: Director of Service Excellence, 2700 W. Norfolk Ave., Norfolk, NE 68701 Fax: (402) 371-4121 Email: contactus@frhs.org You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Director of Service Excellence is available to help 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/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, 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http:// www.hhs.gov/ocr/office/file/index.html. Español ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-402-644-7145. اﻻﻟﻌﺮ � ﻴﺔ ﺑﺮﻗﻢ � ﺑﺎﳌﺠﺎن. اﺗﺼﻞ � ﻟﻚ � ﺗﺘﻮاﻓﺮ � ﺔ � اﻟﻠﻐﻮ � اﳌﺴﺎﻋﺪة � ﺧﺪﻣﺎت � اﻟﻠﻐﺔ، ﻓﺈن � اذﻛﺮ � ﺗﺘﺤﺪث � ﻛﻨﺖ � ﻮﻇﺔ: إذا �� ﻣ 7145-644-402-1. 中文 語言援助-中國 注意 ：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-402-644-7145. Cushitic XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-402-644-7145. Français ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-402-644-7145. Deutsche ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-402-644-7145. 한국어 한국어를 사용하시는 경우 , 언어 지원 서비스를 무료로 이용하실 수 있습니다 . 1-402-644-7145 번으로 전화해 주십시오 . ﮐﻮردی ﺑە � ﺑەردەﺳﺘە. ﭘەﯾﻮەﻧﺪی � ﺗﯚ � ﯽ، ﺑﯚ � زﻣﺎن، ﺑەﺧﯚڕا � ﯽ � ﯾﺎرﻣە � ﯽ � ﺎ � ە � ﻮزار � دەﮐەﯾﺖ، ﺧﺰﻣەﺗ � ﻗەﺳە � ﻮردی �� ﯽ � زﻣﺎ � ﺑە � ﺎداری: ﺋەﮔەر � ﺋﺎ 1-402-644-7145 ພາສາລາວ ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-402-644-7145. नेपाली ध्यान िदनुहोस्: तपार्इंले नेपाली बोल्नुह�न्छ भने तपार्इंको िनिम्त भाषा सहायता सेवाह� िनःशुल्क �पमा उपलब्ध छ । फोन गनुर्होस् 1-402-644-7145 । Thu ɔ ŋjäŋ PIŊ KENE: Na ye jam në Thu ɔ ŋjaŋ, ke ku ɔ ny yenë k ɔ c waar thook at ɔ kuka lëu yök abac ke cïn wënh cuatë piny. Yu ɔ pë 1-402-644-7145 Русский ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-402-644-7145. Tiếng Việt CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-402-644-7145. 日本語 日本語を話される場合、無料の言語支援をご利用いただけます。1-402-644-7145まで、 お電話にてご連絡ください。 FRHS.OR G 11 WW W. English ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-402-644-7145. FRHS.ORG 15