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Patients & Visitors » Non-Discrimination Statement

Non-Discrimination Statement

Non-Discrimination Statement

Fort Madison Community Hospital (FMCH) and Fort Madison Clinics comply with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. FMCH and FMCH Clinics does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

 Fort Madison Community Hospital (FMCH) and FMCH Clinics:

  •  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, contact Barb Marlin, Compliance Officer/Patient Safety & Risk Management Director.

If you believe that FMCH or FMCH 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:

 Compliance Officer/Patient Safety & Risk Management Director

5445 Avenue O, Fort Madison, IA 52627,

319-376-2711, Fax: 319-372-9119 or compliance@fmchosp.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Barb Marlin, Compliance Officer/Patient Safety & Risk Management Director 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


 

Patient Stories

Everyone is always very friendly and professional, they are very compassionate people. Thanks for all you do....

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