Notice of Nondiscrimination and Accessibility Requirements
Our patients and members of our community have the right to receive considerate, respectful, compassionate and appropriate clinical care in a safe setting regardless of age, gender, race, color national origin, religion, language, culture, sexual orientation, gender identity and/or expression, marital or parental status, pregnancy, disabilities, veteran's status, citizenship or source of payment.
To ensure that individuals can communicate in a meaningful manner, we provide reasonable and necessary aids and services free of charge and in a timely manner, including:
- Auxiliary aids and services, such as qualified interpreters for individuals with disabilities and information in alternate formats.
- Language services to people whose primary language is not English, such as qualified interpreters and critical information written in other languages.
If you need such aids and services, please notify your caregiver, a Carilion Clinic staff member or contact us by calling 800-422-8482 or emailing email@example.com.
If you believe that Carilion Clinic has failed to meet these standards or provide these services, you can file a written grievance in person or by mail, fax or email with:
Title: Carilion Clinic’s Chief Compliance Officer
Address: 213 S. Jefferson Street, Suite 1201, Roanoke, Virginia 24011
Phone: (540) 510-4573 Fax: (540) 224-5787 Email: firstname.lastname@example.org
If you need help filing a grievance, Carilion Clinic’s Chief Compliance Officer 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.