Non-Discrimination Notice

Discrimination is Against the Law


Good Samaritan Hospital Association (GSHA) complies with applicable Federal Civil Rights laws and does not discriminate based on race, color, creed, religion, disability, national origin, age, ability, sex, gender identity or expression, affectional or sexual orientation, marital status (including domestic partnerships and civil unions) or any other basis protected by federal, state or local law. Good Samaritan Hospital Association does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

 

Good Samaritan Hospital Association

Provides free aids and services to people with disabilities to communicate effectively with us, such as:

 

  • Qualified sign language interpreters
  • Readers for the blind
  • 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 is written in other languages

 

If you need these services, please contact the Admission Desk at (701) 776-5261.


If you believe that Good Samaritan Hospital Association has failed to provide these services or discriminated in another way based on race, color, national origin, age, disability, or sex, you can file a grievance with the Social Services Director and/or Compliance Coordinator at:


Good Samaritan Hospital Association

Attention: Compliance

800 South Main Avenue

Rugby, ND 58368,

(855) 252-7606

Online at www.hotline-services.com.

 

You can file a grievance in person, by mail, by phone, or online. If you need help filing a grievance,  the Compliance Coordinator 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, HERE, 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

 1-800-868-1019, 800-537-7697 (TDD)

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



Good Samaritan Hospital Association does not discriminate based on race, color, creed, religion, disability, national origin, age, ability, sex, gender identity or expression, affectional or sexual orientation, marital status (including domestic partnerships and civil unions), or any other basis protected by federal, state or local law in its health programs and activities.


German: ACHTUNG Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-855-293-8133 (TDD 1-701-776-5043)


Spanish: ATENCIÓN: si habla español, tiene a sudisposición servicios gratuitos de asistencia lingüística. Llame al 1-855-293-8133 (TDD 1-701-776-5043)

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