Statement on Non-Discrimination

Notice Informing Individuals about Nondiscrimination and Accessibility Requirements

Discrimination is Against the Law

CareMount Medical, P.C. (“CareMount”) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation or gender identity. CareMount does not exclude people or treat them differently because of race, color, national origin, age, disability, sex, sexual orientation or gender identity.

CareMount:

• 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 Kristina Stolzenberg, Compliance and Privacy Director.

If you believe that CareMount has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, sex, sexual orientation or gender identity, you can file a grievance with: Kristina Stolzenberg, Compliance and Privacy Director, 90 South Bedford Road, Mount Kisco, NY 10549, (phone: 914-302-8688, fax: 914-302-8338).

You can file grievance in person or by mail, fax, or email. If you need help filing a grievance, Kristina Stolzenberg 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.

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