Nondiscrimination & Accessibility Notice

Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement: Discrimination is Against the Law

Wentworth-Douglass Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Wentworth-Douglass Hospital does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Wentworth-Douglass Hospital:

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 the Communications department at 603−742−5252 or ‘0’.

If you believe that Wentworth-Douglass Hospital 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 with:

Wentworth-Douglass Hospital Patient Family Relations
789 Central Avenue, Dover, NH 03820
(603) 740−2823 (Telephone)
(603) 740−2240 (TTY)
(603) 740−2373 (Fax)
PatientAdvocate@wdhospital.org

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance Patient Family Relations 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/smartscreen/main.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)

Or by contacting the OCR New England Regional Office at:

Office for Civil Rights
U.S. Department of Health and Human Services
Government Center
J.F. Kennedy Federal Building - Room 1875
Boston, MA 02203
1-800-368-1019, 800-537-7697 (TDD)

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