AHN Neighborhood Hospital
PATIENT & VISITOR
NOTICE OF NON-DISCRIMINATION
As a recipient of Federal financial assistance, AHN Neighborhood Hospital complies with all applicable laws, regulations, and policies related to non-discrimination, and does not discriminate, exclude, or otherwise treat individuals, patients, or visitors differently on the basis of race; ethnicity; familial status; ancestry; color; religion; sex; sexual orientation or preference; gender identity; national origin (including Limited English Proficiency); age; handicap or disability; genetic information; veteran status; or any other protected characteristic under applicable laws in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, including the assigning or transfers of patients to rooms, floors, and sections; assigning staff to patients; utilization of the health care facility; or granting staff privileges of professionally qualified personnel, whether carried out by AHN Neighborhood Hospital directly or through a contractor or any other entity with which AHN Neighborhood Hospital arranges to carry out its programs and activities.
This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination act of 1975, Section 1557 of the Affordable Care Act (ACA), regulations of the U.S. Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of Federal Regulations Parts 80, 84, and 91, and applies to all patients, health care professionals and staff members of AHN Neighborhood Hospital. Health care professionals include physicians, allied health professionals and other licensed health care professionals. Staff members include all employees, agency personnel, contractors, consultants, students, and volunteers.
Notice of Program Accessibility
AHN Neighborhood Hospital and all its programs and activities are accessible to and usable by disabled persons, including persons who are deaf, hard of hearing, or blind, or who have other sensory impairments.
AHN Neighborhood Hospital:
- Provides people with disabilities reasonable modifications and free auxiliary aids and services to people with disabilities, or English proficiency to access AHN Neighborhood Hospital and to communicate effectively with us, such as:
- Qualified sign language interpreters, video remote interpreting or other aids for hearing impaired individuals
- Written information in multiple formats including large print, audio, accessible electronic formats, or other formats for visually impaired individuals
- Provides free language assistance services to people whose primary language is not English, which may include:
- Qualified interpreters or a language line
- Information written in other languages
If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, please contact AHN Neighborhood Hospital ADA/1557 Coordinator at 1-878-295-4735 (State Relay 7-1-1 or 1-800-654-5988).
Grievance Procedure:
If you believe that AHN Neighborhood 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:
ADA/1557 Coordinator
AHN Hempfield Neighborhood Hospital
6321 US-30
Greensburg, PA 15601
Hospital Main Campus Number: 1-878-295-4735 State Relay 7-1-1 or 800-654-5988
You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, AHN Neighborhood Hospital ADA/1557 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, 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
This notice is available at AHN Neighborhood Hospital’s website: https://ahnneighborhood.org
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 1-878-295-4735.
Spanish: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También se dispone de ayuda y servicios auxiliares adecuados para proporcionar información en formatos accesibles. Llame al 1-878-295-4735.
Vietnamese: CHÚ Ý: Nếu bạn nói tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ miễn phí có sẵn cho bạn. Các hỗ trợ và dịch vụ phụ trợ thích hợp để cung cấp thông tin ở các định dạng có thể truy cập cũng có sẵn miễn phí. Gọi 1-878-295-4735.
Chinese: 谨按:若曰 [插语],可得免费语助事。 免费佐设备服务,以无障碍式给信息。 致电 1-878-295-4735。
Korean: 주의: 한국어를 구사할 수 있다면 무료 언어 지원 서비스를 이용할 수 있습니다. 접근 가능한 형식으로
정보를 제공하기 위한 적절한 보조 도구 및 서비스도 무료로 제공됩니다 1-878-295-4735로 전화하십시오.
Arabic: ﺑﺄﺷﻛﺎل اﻟﻣﻌﻠوﻣﺎت ﻟﺗوﻓﯾر ﻣﻧﺎﺳﺑﺔ ﻣﺳﺎﻋدة وﺧدﻣﺎت ﻣﺳﺎﻋدات ﻣﺟﺎﻧﺎ ﺗﺗوﻓر ﻛﻣﺎ .ﻟك ﻣﺗﺎﺣﺔ اﻟﻣﺟﺎﻧﯾﺔ اﻟﻠﻐوﯾﺔ اﻟﻣﺳﺎﻋدة ﺧدﻣﺎت ﻓﺈن ، اﻟﻌرﺑﯾﺔ ﺗﺗﺣدث ﻛﻧت إذا :ﺗﻧﺑﯾﮫ .1-878-295-4735 ﺑﺎﻟرﻗم اﺗﺻل .إﻟﯾﮭﺎ اﻟوﺻول ﯾﺳﮭل
French: ATTENTION : Si vous parlez français, des services d’assistance linguistique gratuits sont à votre disposition. Des aides et des services auxiliaires appropriés pour fournir de l’information dans des formats accessibles sont également disponibles gratuitement. Composez le 1-878-295-4735.
German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachhilfen zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie 1-878-295-4735 an.
Gujarati: ધ્યાન આપો : જો તમે ુજરાતી બોલતા હો, તો તમારા માટ િનઃુલ્ક ભાષા સહાયતા સેવાઓ ઉપલબ્ધ છે. ુલભ ફોમટમાં માહતી ૂર પાડવા માટ યોગ્ય સહાયક સહાયક સહાયકો અને સેવાઓ પણ િવના ૂલ્યે ઉપલબ્ધ છે 1-878-295-4735 પર કોલ કરો.
Russian: ВНИМАНИЕ: Если вы владеете русским языком, вам доступны бесплатные услуги языковой помощи. Также на безвозмездной основе предоставляются соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах. Звоните по номеру 1-878-295-4735.
Pennsylvania Dutch: Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-878-295-4735.
Portuguese: ATENÇÃO: Se você fala Português serviços gratuitos de assistência linguística estão disponíveis para você. Estão também disponíveis gratuitamente ajudas auxiliares e serviços auxiliares adequados para a prestação de informações em formatos acessíveis. Ligue para 1-878-295-4735.
Polish: UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-878-295-4735.
Italian: ATTENZIONE: Se parli Italiano sono disponibili servizi di assistenza linguistica gratuiti. Sono inoltre disponibili gratuitamente ausili ausiliari e servizi adeguati per fornire informazioni in formati accessibili. Chiama il numero 1-878-295-4735.
French Creole: ATANSYON: Si w pale Kreyòl, gen sèvis asistans lang ki disponib pou ou gratis. Zouti ak sèvis pou bay enfòmasyon nan fòm aksesib yo disponib tou gratis. Rele 1-878-295-4735.
Mon-Khmer, Cambodian:
យកចិត្តទុកដក់:្របសិនេបើអ្ន កនិយយភាសាែខ្ម រ,េសវជំនួយភាសាេដយឥតគិតៃថ្លឣចរកបានស្រមាប់អ្ន ក។ ជំងឺេអដស៍និងេសវកម្មជំនួយសម្រសបេដើម្បីផ្តល់ព័ត៌មានក ង្រទង់្រទាយែដលឣចចូ លដំេណើរការបានក៏ឣចរកបានេដយឥ តគិតៃថ្ល។ ការេ 1-878-295-4735។