Notice of Nondiscrimination Statement

 

Discrimination is Against the Law

 

Primary Care of Jamestown, LLC 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)) [optional: (or sex, including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity, and sex stereotypes). Primary Care of Jamestown, LLC does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.

 

Primary Care of Jamestown, LLC:

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• 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)

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• Provides free language assistance services to people whose primary language is not English, which may include:

  • Qualified interpreters

  • Information written in other languages

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If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact us at nurse@jamestownmedical.com

 

Filing a Grievance

 

If you believe that Primary Care of Jamestown, LLC 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:

 

Katheryn Conatser

Regional Manager of Presley Healthcare

101 S Duncan St Suite C Jamestown TN 38556

931-879-5864 

931-879-0796 (Fax)

nurse@jamestownmedical.com

 

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Katheryn Conatser is available to help you.

 

Filing a Civil Rights Complaint

 

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.

 

This notice is available on the Primary Care of Jamestown, LLC website: www.jamestownmedical.com