NONDISCRIMINATION AND ACCESSIBILITY REQUIREMENTS

 

Discrimination is against the law.

Black River Memorial Hospital complies with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently

  • because the individual is unable to pay
  • because payment for those services would be made under Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP)
  • based upon the individual’s race, color, sex, national origin, disability, religion, age, sexual orientation, or gender identity.

Black River Memorial 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, and other formats).
  • 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 Black River Memorial Hospital at 715-284-5361 and ask for interpreter services.

If you believe that Black River Memorial Hospital has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, sex (including pregnancy, sexual orientation, and gender identity), religion, or filing of a prior civil rights complaint, you can file a grievance with:

Compliance
711 West Adams Street,
Black River Falls, WI 54615
Telephone: (715) 284-5361
Fax: 715-284-3691
Send a Message

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, please contact our Compliance Officer using the contact information above.

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
1-800-868-1019, 800-537-7697 (TDD)