Civil Rights Accomodation

Discrimination is Against the Law
Halifax Health complies with applicable Federal civil rights laws and does not discriminate, exclude people or treat them differently because of the basis of race, color, national origin, age, disability, or sex.
› Provides free aids and services to people with disabilities to provide timely and effective communication, such as:
  - Qualfied 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, contact your nurse, or other patient care personnel.
If you believe that Halifax Health 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:

Halifax Health c/o ADA Coordinator
303 N. Clyde Morris Blvd.
Daytona Beach, FL 32114
386.425.3000, civilrightscoordinator@halifax.org

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the ADA Coordinator 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.

ATTENTION: Language assistance services, free of charge, are available. Call 1.877.746.4674 (TTY 1.386.257.1700).
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1.877.746.4674 (TTY 1.386.257.1700).
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ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1.877.746.4674
(TTY 1.386.257.1700).
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa
1.877.746.4674 (TTY 1.386.257.1700).
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1.877.746.4674 (TTY 1.386.257.1700).
( ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1.877.746.4674 (رقمھاتف الصم والبكم: 1.386.257.1700
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(TTY 1.386.257.1700).
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(TTY 1.386.257.1700).
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다 . 1.877.746.4674 (TTY 1.386.257.1700) 번으로 전화해
주십시오.
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(TTY 1.386.257.1700).
ચુના: જો તમે જરાતી બોલતા હો, તો િન: લ્કુ ભાષા સહાય સે વાઓતમારા માટ ઉપલબ્ધ છ. ફોન કરો 1.877.746.4674 (TTY 1.386.257.1700).
เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรีโทร 1.877.746.4674 (TTY 1.386.257.1700).

0816-3249

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