Non-Discrimination Notice

Discrimination is Against the Law
Good Samaritan Hospital Association (GSHA) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Good Samaritan Hospital Association does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
 
Good Samaritan Hospital Association:
Provides free aids and services to people with disabilities to communicate effectively with us, such as:   
  • Qualified sign language interpreters
  • Readers for the blind
  • 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 the Admission Desk
If you believe that Good Samaritan Hospital Association 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 the Social Services Director and/or Compliance Coordinator at:
Good Samaritan Hospital Association
800 South Main Avenue
Rugby, ND 58368,
701-776-7024, 701-776-5043 (TDD)
Online at www.hotline-services.com
 
You can file a grievance in person, by mail, phone or online.  If you need help filing a grievance the Compliance Coordinator 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
 1-800-868-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html


Good Samaritan Hospital Association does not discriminate on the basis of race, color, national origin, sex, age, or disability in its health programs and activities.

German: ACHTUNG Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-855-293-8133 (TDD 1-701-776-5043)

Spanish:  ATENCIÓN: si habla español, tiene a sudisposición servicios gratuitos de asistencia lingüística. Llame al 1-855-293-8133 (TDD 1-701-776-5043)
 

 
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