Notice Informing Individuals About Nondiscrimination and Accessibility Requirements

Discrimination is Against the Law

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

Mid-State Health Center:

• 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: Patient Services at 603-536-4000 or 603-744-6200

If you believe that Mid-State Health Center 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: Director of Patient Relations, Mid-State Health Center, 101 Boulder Point Drive, Suite 1, Plymouth, NH 03264, (603) 536-4000, Fax: (603) 536-4001. You can file a grievance in person, by mail, or fax. If you need help filing a grievance, Mid-State’s Director of Patient Relations 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.

“If you speak [insert language], language assistance services, free of charge, are available to you.”

 Español (Spanish)  ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.

Français (French)  ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.

繁體中文 (Chinese)   注意：如果您使用繁體中文，您可以免費獲得語言援助服務

नेपाली (Nepali)   ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ

Tiếng Việt (Vietnamese)   CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

Português (Portuguese)  ATENÇÃO:  Se fala português, encontram-se disponíveis serviços linguísticos, grátis.

λληνικά (Greek)  ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν.

العربية (Arabic)   ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم

Srpsko-hrvatski (Serbo-Croatian)  OBAVJEŠTENJE:  Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno.

Bahasa Indonesia (Indonesian)  PERHATIAN:  Jika Anda berbicara dalam Bahasa Indonesia, layanan bantuan bahasa akan tersedia secara gratis.

한국어 (Korean)  주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.

Русский (Russian)  ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.

 Kreyòl Ayisyen (French Creole)  ATANSYON:  Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.

Bantu   ICITONDERWA: Nimba uvuga lkirundi, uzohabwa serivisi zo gufasha mu ndimi, ku bantu.

Polski (Polish)   UWAGA:  Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.