Grande Ronde Hospital, Inc. complies with all applicable Federal civil rights laws

and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Grande Ronde Hospital, Inc. does not exclude people or treat them differently because of

race, color, national origin, age, disability, or sex.

We provide free aids and services to people with disabilities to communicate effectively

with us, such as: a) Qualified sign language interpreters; and

b) Written information in other formats (large print,

audio, accessible electronic formats, other formats.

We provide free language services to people whose primary language is

not English, such as: a) Qualified interpreters; and b) Information written in

other languages.

If you need these services, please call us at 1-800-472-3970.

If you believe that Grande Ronde Hospital, Inc. has

failed to provide these services or

discriminated in another way on the basis

of race, color, national origin, age, disability, or sex,

you may file a grievance with:

GRH Civil Rights Coordinator

P.O. Box 3290 La Grande OR 97850

Phone: 1-800-472-3970

Email: Compliance_Officers@grh.org

You may file a grievance in person, by mail, email,

or phone. If you need help filing a grievance, our

Civil Rights Coordinator is here to assist you.

You may 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

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

Or file mail or phone:

U.S. Dept. of Health & Human Services

200 Independence Ave. SW., Rm. 509F, HHH Building

Washington, DC 20201

1–800–368–1019, 1-800–537–7697 (TDD).

HHS Complaint forms are available at

http://www.hhs.gov/ocr/office/file/index.html.

GRIEVANCES and COMPLAINTS

SPANISH (Español): ATENCIÓN: si habla español, tiene a su dis-posición servicios gratuitos de asistencia lingüísti-ca. Llame al 1–800-472-3970 (TTY: 1–800–735–2900).

VIETNAMESE (Tiế ng Viế t): CHÚ Ý: Nế u bạ n nói Tiế ng Viế t, có các dị ch vụ hỗ trợ ngôn ngữ miế n phí dành cho bạ n. Gỗ i sỗ 1–800-472-3970 (TTY: 1–800–735–2900).

CHINESE (繁體中文):

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 1-800-472-3970 (TTY: 1–800–735

–2900) 。

RUSSIAN (Русскии ): ВНИМАНИЕ: Если вы говорите на

русском языке, то вам доступны

бесплатные услуги перевода. Звоните 1–800-472-3970 (телетаи п: 1-800-735-2900).

KOREAN (한국어):

주의: 한국어를 사용하시는 경우, 언어 지

원 서비스를 무료로 이용하실 수 있습니

다. 1–800-472-3970 (TTY: 1-800-735-2900)번으

로 전화해 주십시오. UKRANIAN (Украї нська):

УВАГА! Якщо ви розмовляєте украї нською

мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуи те за

номером 1–800-472-3970 (телетаи п: 1-800-735-2900). CUSHITE-Oromo: Xiyyeeffannaa: Yenna Oromoo

dubbatta tahe, tajaajiloonni gargaarsa loqodaa, baasii

malee, isiniif jira. Waamaa 1–800-472-3970 (TTY:

1-800-735-2900.)

JAPANESE (日本語):

注意事項：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。1–800-472-3970

(TTY:1-800-735-2900）まで、お電話にてご連絡

ください。 ARABIC ( (: العربية

مالحظة: اذا كنت تتحدث اللغة العربية, فان خدمات المساعدة اللغوية )رقم هاتف 3970-472-800-1 ممتوفرة مجانا. اتصل على الرق

).2900-735-800-1الصم والبكم:

ROMANIAN )Română): ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție

servicii de asistență lingvistică, gratuit. Sunați la 1–800-472-3970 (TTY: 1-800-735-2900).

CAMBODIAN (ខមែរ):

របយត ៖ េរេបើសន អ កន យ ែរខ រ, េរស ជនែយផ

ក េរ យមនគតឈ ល គ ច នស បបេររ អ ក។ ចរ

ទរសព 1–800-472-3970 (TTY: 1-800-735-2900)។

GERMAN (Deutsch): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ih-

nen kostenlos sprachliche Hilfsdienstleistungen zur

Verfügung. Rufnummer: 1–800-472-3970 (TTY: 1-

800-735-2900). PERSIAN/FARSI ( ):فارسی

: اگر به زبان فارسی گفتگو می کنید، تسهیالت زبانی بصورت توجه

-TTY: 1) 3970-472-800-1رایگان برای شما فراهم می باشد. با

تماس بگیرید. (800-735-2900

FRENCH (Français): ATTENTION : Si vous parlez français, des services

d'aide linguistique vous sont proposés gratuitement.

Appelez le 1–800-472-3970 (ATS : 1-800-735-2900).

THAI(ภาษาไทย): เรยน: ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1–800-472-3970 (TTY: 1-800-735-2900).

GRH Languages Services

1-800-472-3970