Nondiscrimination Policy

Notice of Nondiscrimination

Deaconess complies with applicable federal civil rights laws and does not discriminate in the provision of services to an individual based on the individual’s race, color, national origin, age, disability, creed, religion, ethnicity, handicap, sex, gender identity, sexual orientation, source of payment (including Medicare, Medicaid and CHIP), or inability to pay.

Deaconess Hospital, Inc., Deaconess Clinic, Inc., and Deaconess Specialty Physicians, Inc.

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)
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 812-450-5000.

If you believe that Deaconess has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, creed, religion, ethnicity, handicap, sex, gender identity, sexual orientation, source of payment (including Medicare, Medicaid and CHIP), or inability to pay you can file a grievance with:

Patient Relations, 600 Mary Street, Evansville, IN 47747

Phone: 812-450-3430 or 1-800-651-9542 Fax: 812-450-3336; TTY: 812-450-4900 and/or

e-mail: patient.advocate@deaconess.com

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

If you have questions regarding Title VI of the Civil Rights Act of 1964, The Age Discrimination Act of 1975, and Section 504 of the Rehabilitation Act of 1973, contact Human Resources at 812-450-2359.

Deaconess Women’s Hospital of Southern Indiana, LLC

Deaconess Women’s Hospital of Southern Indiana, LLC (The Women’s Hospital) complies with applicable federal civil rights laws and does not discriminate in the provision of services to an individual based on the individual’s race, color, national origin, age, disability, creed, religion, ethnicity, handicap, sex, gender identity, sexual orientation, source of payment (including Medicare, Medicaid and CHIP), or inability to pay.

The Women’s Hospital

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)
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 812-842-4200.

If you believe that The Women’s Hospital has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, creed, religion, ethnicity, handicap, sex, gender identity, sexual orientation, source of payment (including Medicare, Medicaid and CHIP), or inability to pay you can file a grievance with:

TWH Compliance/Regulatory Officer, 4199 Gateway Boulevard, Newburgh, IN 47630

Phone: 1-812-858-5999 Fax 1-812-842-3864 and/or

E-mail: Amanda.Elikofer2@Deaconess.com

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, TWH Compliance/Regulatory Officer 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 telephone 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; 1-800-537-7697 (TDD)

Complaints can be filed on line at https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf

You can also file a civil rights complaint with the Indiana Civil Rights Commission (ICRC) by calling

1-800-628-2909 or filing electronically at in.gov/icrc/.

Language Assistance Services - Indiana

Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-812-450-3435 (TTY: 1-812-450-4900).

繁體中文 (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 1-812-450-3435 (TTY : 1-812-450-4900)。

Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-812-450-3435 (TTY: 1-812-450-4900).

Deitsch (Pennsylvania Dutch) Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-812-450-3435 (TTY: 1-812-450-4900).

(Burmese)

1-812-450-3435 (TTY: 1-812-450-4900)

العربية (Arabic)(رقم 812-450-5000 (TTY 812-450-4900)

.(1-812-450-3435 (TTY 1-812-450-4900) هاتف الصم والبكم

한국어 (Korean) 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-812-450-3435 (TTY: 1-812-450-4900)번으로 전화해 주십시오.

Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-812-450-3435 (TTY: 1-812-450-4900).

Français (French) ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-812-450-3435 (ATS : 1-812-450-4900).

日本語 (Japanese) 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。1-812-450-3435 (TTY:1-812-450-4900) まで、お電話にてご連絡ください。

Nederlands (Dutch) AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel 1-812-450-3435 (TTY: 1-812-450-4900).

Tagalog (Tagalog – Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-812-450-3435 (TTY: 1-812-450-4900).

Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-812-450-3435 (телетайп: 1-812-450-4900).

ਪੰਜਾਬੀ (Punjabi) ਧਿਆਨ ਦਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਵਿੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। 1-812-450-3435 (TTY: 1-812-450-4900) 'ਤੇ ਕਾਲ ਕਰੋ।

हिंदी (Hindi) ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-812-450-3435 (TTY: 1-812-450-4900) पर कॉल करें।

Srpsko-hrvatski (Serbo-Croatian) OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-812-450-3435 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 1-812-450-4900).

नेपाली (Nepali)

ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ । फोन गर्नुहोस् 1-812-450-3435 (टिटिवाइ: 1-812-450-4900) ।

Oroomiffa (Oromo - Cushite) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-812-450-3435 (TTY: 1-812-450-4900).

Tagalog (Tagalog – Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-812-450-3435 (TTY: 1-812-450-4900).

Ikirundi (Bantu – Kirundi) ICITONDERWA: Nimba uvuga Ikirundi, uzohabwa serivisi zo gufasha mu ndimi, ku buntu. Woterefona 1-812-450-3435 (TTY: 1-812-450-4900).

Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-812-450-2678 (TTY: 1-812-450-4900).

Gujarati સચુના: જોતમેગજુરાતીબોલતાહો, તોનન:શલ્ુકભાષાસહાયસેવાઓતમારામાટેઉપલબ્ધછે. ફોનકરો 1-812-450-2678 (TTY: 1-812-450-4900)

Urduخبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں 1-812-450-2678 (TTY: 1-812-450-4900).

Italian ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-812-450-2678 (TTY: 1-812-450-4900)

Greek ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονταιδωρεάν. Καλέστε 1-812-450-2678 (TTY: 1-812-450-4900)

Language Assistance Services - Kentucky

Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-812-450-3435 (TTY: 1-812-450-4900).

繁體中文 (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 1-812-450-3435 (TTY : 1-812-450-4900)。

Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-812-450-3435 (TTY: 1-812-450-4900).

(Burmese)

1-812-450-3435 (TTY: 1-812-450-4900)

العربية (Arabic)(رقم 812-450-5000 (TTY 812-450-4900)

.(1-812-450-3435 (TTY 1-812-450-4900) هاتف الصم والبكم

Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-812-450-3435 (TTY: 1-812-450-4900).

Français (French) ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-812-450-3435 (ATS : 1-812-450-4900).

Nederlands (Dutch) AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel 1-812-450-3435 (TTY: 1-812-450-4900).

Tagalog (Tagalog – Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-812-450-3435 (TTY: 1-812-450-4900).

नेपाली (Nepali)

Oroomiffa (Oromo - Cushite) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-812-450-3435 (TTY: 1-812-450-4900).

Tagalog (Tagalog – Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-812-450-3435 (TTY: 1-812-450-4900).

Ikirundi (Bantu – Kirundi) ICITONDERWA: Nimba uvuga Ikirundi, uzohabwa serivisi zo gufasha mu ndimi, ku buntu. Woterefona 1-812-450-3435 (TTY: 1-812-450-4900).

Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-812-450-2678 (TTY: 1-812-450-4900).

Italian ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-812-450-2678 (TTY: 1-812-450-4900)

Language Assistance Services - Illinois

Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-812-450-3435 (TTY: 1-812-450-4900).

繁體中文 (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 1-812-450-3435 (TTY : 1-812-450-4900)。

Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-812-450-3435 (TTY: 1-812-450-4900).

(Burmese)

1-812-450-3435 (TTY: 1-812-450-4900)

العربية (Arabic)(رقم 812-450-5000 (TTY 812-450-4900)

.(1-812-450-3435 (TTY 1-812-450-4900) هاتف الصم والبكم

Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-812-450-3435 (TTY: 1-812-450-4900).

Français (French) ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-812-450-3435 (ATS : 1-812-450-4900).

Nederlands (Dutch) AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel 1-812-450-3435 (TTY: 1-812-450-4900).

Tagalog (Tagalog – Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-812-450-3435 (TTY: 1-812-450-4900).

नेपाली (Nepali)

Oroomiffa (Oromo - Cushite) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-812-450-3435 (TTY: 1-812-450-4900).

Tagalog (Tagalog – Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-812-450-3435 (TTY: 1-812-450-4900).

Ikirundi (Bantu – Kirundi) ICITONDERWA: Nimba uvuga Ikirundi, uzohabwa serivisi zo gufasha mu ndimi, ku buntu. Woterefona 1-812-450-3435 (TTY: 1-812-450-4900).

Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-812-450-2678 (TTY: 1-812-450-4900).

Italian ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-812-450-2678 (TTY: 1-812-450-4900)