Non-Discrimination Policy

Notice Informing Individuals About Nondiscrimination and Accessibility

Requirements and Nondiscrimination Statement:

Discrimination is Against the Law

BLOCK, NATION, CHASE & SMOLEN FAMILY MEDICINE complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. BLOCK, NATION, CHASE & SMOLEN FAMILY MEDICINE does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

BLOCK, NATION, CHASE & SMOLEN FAMILY MEDICINE:

If you believe that BLOCK, NATION, CHASE & SMOLEN FAMILY MEDICINE 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/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)

To view or download a PDF version of this statement in another language, click on one of the following links:

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