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Non-Discrimination Policy

Ascension Crittenton Hospital complies with applicable Federal civil rights laws and does not discriminate on the
basis of race, color, national origin, age, disability or sex.

Ascension Crittenton Hospital does not exclude people or treat them differently because of race, color, national
origin, age, disability or sex.

Ascension Crittenton Hospital 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 and other formats).

Ascension Crittenton Hospital 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 248-652-5000.

If you believe that Ascension Crittenton Hospital 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 leave a grievance with:

Ascension Crittenton Hospital
Patient Relations Department
1101 W. University
Rochester, MI 48307
T: 248-652-5606
F: 248-652-5655
E: Latoya.McGlaun@ascension.org
You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Patient Relations Department,
Section 1557 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, DC 20201
1-800-368-1019; 1-200-537-7697 (TDD)

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

ATTENTION: If you speak any of the languages below, language assistance services, free of charge, are available to you. Call 1–248-652-5606 .

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-248-652-5606 .

مقر) 248-652-5606-1 مقرب لصتا .ناجملاب كل رفاوتت ةیوغللا ةدعاسملا تامدخ نإف ،ةغللا ركذا ثدحتت تنك اذإ :ةظوحلم .

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 1-248-652-5606。

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-x-248-652-5606.

KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-248-652-5606 .

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1–248-652-5606 번으로 전화해 주십시오.

লক্ষ্য করুনঃ যদি আপনি বাংলা, কথা বলতে পারেন, তাহলে নিঃখরচায় ভাষা সহায়তা পরিষেবা উপলব্ধ আছে। ফোন করুন ১-1-248-652-5606.

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-248-652-5606

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-248-652-5606.

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-248-652-5606.

注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-248-652-5606 まで、お電話にてご連絡ください。

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-248-652-5606.

OBAVJESTENJE: Ako govorite srpsko-hrvatski, usluge jezicke promoci dostupne su vam Besplatno. Nazovite 1-248-652-5606.

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-248-652-5606.