Mid-State Health Center complies with all applicable Federal Civil Rights Laws and does not discriminate against people because of their age, sex, race, creed, color, marital status, family status, physical or mental disability, religion, national origin, sexual orientation or political affiliation or belief. There will be no discrimination in accepting or providing services, or the admission or access to, or treatment in any programs or services offered by Mid-State Health Center.
No one will be denied access to services due to inability to pay; and there is a discounted/sliding fee schedule available based on family size and income.
NOTICE OF ACCESSIBILTY
This facility and all of its programs and activities are accessible to and usable by disabled persons, including persons with impaired hearing and vision. Access features include:
- Parking designed specifically for disabled persons.
- Curb cuts and ramps between parking areas and buildings
- Level access to first floor level care areas
- Fully accessible offices, meeting rooms, bathroom, breakrooms, public waiting areas, patient treatment areas, including examining rooms, and pharmacy.
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)
Mid-State Health Center provides free language services to people whose primary language is not English, like:
- Qualified interpreters
- Information written in other languages
If you require any assistance, please tell the schedule, patient services, or member of your care team.
If you believe that Mid-State Health Center has failed to provide these services or discriminated in any other way, you can file a grievance with:
Mail: Quality Improvement Coordinator
Mid-State Health Center
101 Boulder Point Dr., Suite 1
Plymouth, NH 03264
Call: Quality Improvement Coordinator: 603-536-4000 Ext. 1804
Emil: quality@midstatehealth.org
Fax: 603-536-4001
You can file a grievance in person, by mail, by email or fax. If you need help filing a grievance, Mid-State’s Quality Improvement Coordinator is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Service, Office for Civil Rights, by mail, phone or electronically through the Office for Civil Rights Complaint Portal.
Mail: U.S. Department of Health and Human Services
200 Independence Avenue,
SW Room 509F, HHH Building
Washington, DC 20201
Complaint Forms: https://www.hhs.gov/ocr/complaints/index.html
Call: 1-800-368-1019 TDD: 1-800-537-7697
Online Portal: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf
Revised: 01/11/2023
ATTENTION: Language assistance services are available to you free of charge.
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
Português (Portuguese) ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis.
العربية (Arabic) ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم
λληνικά (Greek) ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν.
Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.
Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.
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.
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.
