This Notice informs individuals about nondiscrimination and accessibility requirements. Discrimination is against the law.
Summit Healthcare Association and its covered entities comply with applicable Federal and State civil rights laws and does not discriminate on the basis of race, color, national origin, religion, age, marital status, diagnosis, disability, conscience including religious beliefs or moral conviction, or sex including pregnancy, gender identity, sexual orientation, or sex stereotypes.
Summit Healthcare Association and its covered entities does not exclude people or treat them less favorably on the basis of the above mentioned civil rights and:
If you need the above services, contact the Administrative Shift Coordinator on duty day or night at 928-537-4375 or 928-537-6868.
For information on these free services translated in your primary language, ask about the Notice of Availability.
If you believe that Summit Healthcare Association and its covered entities has failed to provide these services or discriminated in another way on the basis of race, color, national origin, religion, age, marital status, diagnosis, disability, conscience including religious beliefs or moral conviction, or sex including pregnancy, gender identity, sexual orientation, or sex stereotypes, you can file a grievance with the Summit Healthcare Association Civil Rights Coordinator. You can file by:
- Email: compliance_team@summithealthcare.net
- Mail: 2200 E Show Low Lake Road, Show Low, AZ 85901
- Phone: 1-928-537-6556; Fax: 1-928-537-8839; or In Person.
You may 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
Phone: 1.800.368.1019, 800.537.7697 (TDD)
Complaint forms are available at https://www.hhs.gov/ocr/office/file/index.html.
This Notice is available on the Summit Healthcare Association website at https://www.summithealthcare.net. If you need help with auxiliary aids, assistive services or filing a grievance, or, if you have questions or concerns, contact the Summit Healthcare Association Civil Rights Coordinator.
English
ATTENTION: If you speak English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 1-928-537-6868 or 1-928-537-6556 or speak to your provider.
Español (Spanish)
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 1-928-537-6868 o 1-928-537-6556 o hable con su proveedor.
Diné (Navajo)
SHOOH: Diné bee yánilti’gogo, saad bee aná’awo’ bee áka’anída’awo’ít’áá jiik’eh ná hólǫ. Bee ahil hane’go bee nida’anishí t’áá ákodaat’éhígíí dóó bee áka’anída’wo’í áko bee baa hane’í bee hadadilyaa bich’į’ ahoot’i’ígíí éí t’áá jiik’eh holǫ. Kohјį’ 1-928-537-6868 or 1-928-537-6556 hodíilnih doodago nika’análwo’í bich’į’ hanidziih.
中文 (Chinese, Simplified)
注意:如果您说中文,我们将向您免费提供语言协助服务。我们还免费提供适当的辅助工具和服务,以无障碍格式提供信息。致电 1-928-537-6868 或 1-928-537-6556 或咨询您的服务提供商。
Việt (Vietnamese)
LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số 1-928-537-6868 hoặc 1-928-537-6556 hoặc trao đổi với người cung cấp dịch vụ của bạn.
Arabic
كما تتحدث اللغة العربية، تتوفر لك خدمات المساعدة اللغوية المجانية.
اتصل برقم 1-928-537-6868 أو
6556-537-928-1 للحصول على المزيد من المساعدة.
Tagalog
PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa 1-928-537-6868 o 1-928-537-6556 o makipag-usap sa iyong provider.
한국어 (Korean)
주의: [한국어]를 사용하는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다.
이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공합니다.
1-928-537-6868 또는 1-928-537-6556 번으로 전화하거나 서비스 제공자에게 문의하십시오.
Français (French)
ATTENTION : Si vous parlez Français, des services d'assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement.
Appelez le 1-928-537-6868 ou 1-928-537-6556 ou parlez à votre fournisseur.
Deutsch (German)
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung.
Rufen Sie 1-928-537-6868 oder 1-928-537-6556 an oder sprechen Sie mit Ihrem Provider.
Русский (Russian)
ВНИМАНИЕ: Если вы говорите на русском, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно.
Позвоните по телефону 1-928-537-6868 или 1-928-537-6556 или обратитесь к своему поставщику услуг.
日本語 (Japanese)
注意:日本語を話される場合、無料の言語支援サービスをご利用いただけます。アクセス可能(誰もが利用できるよう配慮された)な形式で情報を提供するための適切な補助支援やサービスも無料でご利用いただけます。
1-928-537-6868 または 1-928-537-6556 までお電話ください。または、ご利用の事業者にご相談ください。
Persian (Farsi)
اگر شما به زبان فارسی صحبت میکنید، خدمات پشتیبانی زبانی رایگان در دسترس شما قرار دارد. همینطور، کمکها و خدمات پشتیبانی مناسب برای ارائه اطلاعات در قالبهای قابل دسترس نیز بهصورت رایگان موجود است.
برای اطلاعات بیشتر، با شماره 1-928-537-6868 یا
6556-537-928-1 تماس بگیرید.
Arabic (Syriac-Arabic)
كما تقول إذا تحدثت اللغة العربية، فستتوفر لك خدمات مساعدة اللغة المجانية. تتوفر أيضًا وسائل مساعدة وخدمات مناسبة لتوفير المعلومات بتنسيقات يسهل الوصول إليها مجانًا.
اتصل بالرقم 1-928-537-6868 أو
6556-537-928-1 لمزيد من الخدمة.
Bosanski (Serbo-Croatian - Bosnian)
PAŽNJA: Ako govorite bosanski, dostupne su vam besplatne jezičke usluge. Odgovarajuća pomagala i usluge za pružanje informacija u pristupačnim formatima također se pružaju besplatno.
Pozovite 1-928-537-6868 ili 1-928-537-6556 ili kontaktirajte svog pružatelja usluga.
ไทย (Thai)
หมายเหตุ: หากคุณใช้ภาษาไทย เรามีบริการความช่วยเหลือด้านภาษาฟรี นอกจากนี้
ยังมีเครื่องมือและบริการช่วยเหลือเพื่อให้ข้อมูลในรูปแบบที่เข้าถึงได้โดยไม่เสียค่าใช้จ่าย
โปรดโทรติดต่อ 1-928-537-6868 หรือ 1-928-537-6556 เพื่อปรึกษาผู้ให้บริการของคุณ