Discrimination is Against the Law

Fisher-Titus Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2)) or sex, including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity, and sex stereotypes. Fisher-Titus Health does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.

Fisher-Titus Health:

• Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services 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 assistance services to people whose primary language is not English, which may include:
  • Qualified interpreters
  • Information written in other languages

If you need reasonable modification, appropriate auxiliary aids and services, or language assistance services, contact Patient Experience at 419-660-6906.

If you believe that Fisher-Titus Health 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:

Fisher-Titus Health – Patient Experience Office

272 Benedict Avenue Norwalk, Ohio 44857

Office: 419-660-6906, Fax: 419-660-2692

Email: patientexperience@ftmc.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Jennifer Wilhelm, Patient Experience Manager, 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 6/2017

This notice is available at Fisher-Titus Health’s website:  https://www.fishertitus.org/

 

Notice of availability of language assistance services and auxiliary aide services

English	ATTENTION: If you speak English, language help services are offered free of charge. Call 419-660-6906. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge.
Español Spanish	ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 419-660-6906. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles.
Deutsch German	ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 419-660-6906. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung.
Français French	ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 419-660-6906. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement.
عربي Arabic	مالحظة: إذا كنت تتحدث اللغة العربية، وتقدم خدمات مساعدة اللغة مساعدة وخدمات مناسبة لتوفير المعلومات بتنسيقات يمكن الوصول إليها مجانًا. مجانا. اتصل بالرقم 6906-660-419
Deitsch Pennsylvanian      Dutch	ACHTUNG: Wann du Pennsylvanisch Deitsch schwetzscht, sin Hilfsdienst fer die Sprooch fer dich gratis verfügbar. Ruf selli Nummer uff: 419-660-6906. Passende Hilfsmittel un Dienscht, fer Informatione in zugängliche Formate ze gebbe, sin aa gratis verfügbar
Русский Russian	ВНИМАНИЕ: Если вы говорите по-русски, языковые справочные услуги предоставляются бесплатно. Позвоните по телефону 419-660-6906. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно.
Italiano Italian	ATTENZIONE: Se si parla italiano, i servizi di aiuto linguistico sono offerti gratuitamente. Chiamare il numero 419-660-6906. Sono inoltre disponibili gratuitamente ausili e servizi ausiliari adeguati per fornire informazioni in formati accessibili.

 

Tiếng Việt Vietnamese	CHÚ Ý: Nếu bạn nói tiếng Việt, các dịch vụ trợ giúp ngôn ngữ được cung cấp miễn phí. Gọi số 419-660-6906. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí.
Oroomiffa Cushite / Oromo	XIYYEEFFANNOO: Yoo afaan Oromoo dubbachuu ni dandeessu ta’e, tajaajilli gargaarsa afaanii bilisaan ni kennama. 419-660-6906 bilbilaa. Meeshaaleenii fi tajaajiloonni qaama miidhamtootaaf bifa hubachuu danda’aniin odeeffannoo akka argatan gargaaran baasii tokko malee/bilisaan ni kennamu.
Soomaali Cushite / Somali	KA DIGTOONOW: Haddii aad ku hadasho Soomaali, adeegyada gargaar luqadda waxaa lagu bixiyaa lacag la’aan. Wac 419-660-6906. Qalab caawinaad iyo adeegyo oo habboon si loogu bixiyo macluumaadka qaabab la adeegsan karo ayaa sidoo kale bilaa lacag heli karaa.
日本語 Japanese	注意：日本語を話す場合、言語ヘルプサービスは無料で提供されます。電話 419-660-6906。アクセシブル（誰もが利用できるよう配慮された）な形式で情報を提供するための適切な補助支援やサービスも無料でご利用いただけます
Nederlands Dutch		LET OP: Als je Nederlands spreekt, worden er gratis taalhulpdiensten aangeboden. Bel 419-660-6906. Passende hulpmiddelen en diensten voor het verstrekken van informatie in toegankelijke formaten zijn ook gratis beschikbaar.
Українська Ukrainian		УВАГА: Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером. 419-660-6906. Відповідні допоміжні засоби та послуги для надання інформації у доступних форматах також доступні безкоштовно.
Română Romanian		ATENȚIE: Dacă vorbiți limba română, serviciile de asistență lingvistică sunt oferite gratuit. Sunați la 419-660-6906. Asistența și serviciile auxiliare adecvate pentru furnizarea de informații în formate accesibile sunt, de asemenea, disponibile gratuit.
한국어 Korean		주의 : 한국어로 말할 경우 언어 지원 서비스가 무료로 제공됩니다. 넷하나아홉-여섯여섯영-여섯아홉영여섯. 번으로 전화하십시오. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다.

 

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。請致電我们还免费提供适当的辅助工具和服务，以无障碍格式提供信息。