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Non-Discrimination Regulatory Requirements of Affordable Care Act

 
Notice of Non-Discrimination and Language Services

Nondiscrimination Notice

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

If you believe that Avow has discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with Senior Director of Compliance and Risk by mail at Avow Hospice 1095 Whippoorwill lane, Naples FL. 34105; by telephone number at (855) 348-4998; or via the website using NAVEX Global at www.avow.ethicspoint.com. If you need help filing a grievance, contact any member of your care team, who are available to help you, or contact Avow Hospice at (239) 261-4404.

Access to Language Services

Avow provides free aids and services to people with disabilities to communicate effectively with us, such as: qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats). It also provides free language services to people whose primary language is not English, such as: qualified interpreters and information written in other languages.

If you need these services, contact Avow Hospice at 1-888-484-AVOW (2869) to request these services. If you believe that Avow has failed to provide these services, you can file a grievance with Senior Director of Compliance and Risk by mail at Avow Hospice 1095 Whippoorwill lane, Naples FL. 34105; by telephone at (855) 348-4998; or via the website using NAVEX Global at www.avow.ethicspoint.com. If you need help filing a grievance, contact any member of your care team, who are available to help you, or contact Avow Hospice at (239) 261-4404.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

You may file a complaint electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf;

By mail at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201; or by phone at: 1-800-368-1019, 800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

SPANISH

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.
Llame al 1-888-484-AVOW (2869).

FRENCH CREOLE (HAITIAN)

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-888-484-AVOW (2869).

VIETNAMESE

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-484-AVOW (2869).

 PORTUGUESE (EUROPEAN)

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-888-484-AVOW (2869).

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 1-888-484-AVOW (2869)

FRENCH

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-888-484-AVOW (2869).

TAGALOG

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-484-AVOW (2869).

RUSSIAN

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-484-AVOW (2869).

ARABIC

[Coming Soon]

 ITALIAN

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-888-484-AVOW (2869).

GERMAN

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.
Rufnummer: 1-888-484-AVOW (2869).

KOREAN

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-484-AVOW 번으로 전화해 주십시오.

POLISH

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-888-484-AVOW (2869).

GUJARATI

[COMING SOON]

THAI

เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-888-484-AVOW (2869).