Central Peninsula Hospital and its clinics (collectively “CPH”) comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. CPH does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Central Peninsula Hospital:
(1) Provides free aids and services to people with disabilities to communicate effectively with us, such as: (a) Qualified sign language interpreters; and (b) Written information in other formats (large print, audio, accessible electronic formats, other formats).
(2) Provides free language services to people whose primary language is not English, such as: (a) Qualified interpreters; and (b) Information written in other languages.
If you need any of the above services, please contact the Civil Rights Coordinator below. If you need Telecommunications Relay Services, please call 7-1-1.
If you believe that CPH 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 CPH by contacting the Civil Rights Coordinator listed below:
Civil Rights Coordinator - All Facilities
John Dodd, Civil Rights Coordinator
250 Hospital Place
Soldotna, AK 99669
Phone: (907) 714-4785
Fax: (907) 262-9128, | Email: email@example.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the above-noted Civil Rights 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://www.hhs.gov/ocr/filing-with-ocr/index.html or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue SW.
Room 509F, HHH Building
Washington, DC, 20201
1-800-368-1019 or 800-537-7697 (TDD).
Complaint forms are available at https://www.hhs.gov/ocr/office/file/index.html.
© 2017 Central Peninsula Hospital
250 Hospital Place Soldotna AK 99669-7559