AFFORDABLE CARE ACT SECTION 1557 NOTICE OF NONDISCRIMINATION
Global Medical Response complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation and gender identity), in covered health programs or activities.
Global Medical Response:
< 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, etc.)
< 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 our Civil Rights Coordinator.
If you believe that Global Medical Response 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 contact our Civil Rights Coordinator to obtain information on how to file a grievance.
CIVIL RIGHTS COORDINATOR:
877.631.5722 compliance@gmr.net
Attn: Global Medical Response Civil Rights Coordinator
13950 Ballantyne Corporate Place, Suite 300 Charlotte,
NC 28277
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
800.368.1019, 800.537.7697 (TDD)
Complaint forms are available at https://www.hhs.gov/ocr/complaints/index.html
Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1.877.631.5722 (TTY: 711)
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 1.877.631.5722 (TTY: 711)
Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1.877.631.5722. (TTY: 711)
Korean: 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니
다. 1.877.631.5722 (TTY: 711)번으로 전화해 주십시오.
Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1.877.631.5722. (TTY: 711)
Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1.877.631.5722.(TTY: 711)
French Creole: ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1.877.631.5722. (TTY 711)
French: ATTENTION: Si vous parlez français,des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1.877.631.5722. (TTY: 711)
Polish: UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1.877.631.5722. (TTY: 711)
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。まで、お電話にてご連絡ください。 1.877.631.5722 (TTY:711)
توجھ: اگر بھ زبان فارسی گفتگو می کنید، تسھیلات زبانی بصورت رایگان برای شما فراھمFarsi : TTY: 711 می باشد. با 2275.136.778. تماس بگیرید
Portuguese: ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1.877.631.5722. (TTY:711)
Italian: ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1.877.631.5722. (TTY: 711)
German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1.877.631.5722. (TTY: 711)
:Arabic رقم ھات 877.631.5722ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوی ة تتوافر لك بالمجان.
اتصل برقم1 711– TTYالص م والبكم1 :
