Section 1557 of the ACA: Non-Discrimination Notice
Family Medical Center of Hart County complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Family Medical Center of Hart County does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Family Medical Center of Hart County:
If you believe that Family Medical Center of Hart County 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: Administration, PO Box 579, Munfordville, KY 42765, 270-524-7231, Fax: 270-524-7415, email: TGroce@MunfordvilleFMC.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, contact any staff member who 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.
Family Medical Center of Hart County complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Family Medical Center of Hart County does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Family Medical Center of Hart County:
- Provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
- Qualified sign language interpreters
- 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 any staff member of Family Medical Center of Hart County
- Qualified interpreters
If you believe that Family Medical Center of Hart County 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: Administration, PO Box 579, Munfordville, KY 42765, 270-524-7231, Fax: 270-524-7415, email: TGroce@MunfordvilleFMC.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, contact any staff member who 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.