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Patients & Visitors » Non-Discrimination Statement

Non-Discrimination Statement

Non-Discrimination Statement

Fort Madison Community Hospital (FMCH) and Fort Madison Physicians & Surgeons (FMP&S) 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 FMP&S does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

 Fort Madison Community Hospital (FMCH) and Fort Madison Physicians & Surgeons (FMP&S):

  •  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 FMP&S 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:

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

5445 Avenue O, Fort Madison, IA 52627,

319-376-2711, Fax: 319-372-9119 or bmarlin@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


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