Notice of Nondiscrimination and Accessibility

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/