Notice of Nondiscrimination

State of Franklin Healthcare Associates complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. State of Franklin Healthcare Associates does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Free Aids and Services

We provide free aids and services to patients with disabilities to communicate effectively with us, such as:

• Qualified sign language interpreters
• Written information in other formats (large print, accessible electronic formats, other formats)

We also provide the following free language services to people whose primary language is not English.

• Qualified interpreters
• Information written in other languages (Tennessee Patients with Limited English Proficiency)

If you need these services, please contact the Office Manager.

Grievances

If you believe that State of Franklin Healthcare Associates 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:

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Paula Wright is available to help you.

Civil Rights Complaints

You can 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 Ave. SW
Room 509F HHH Building
Washington, DC 20201
1-800-368-1019; 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html