Upland Hills Health complies with applicable Federal civil rights laws and does not discriminate based on an individual’s inability to pay; whether payment for services would be made under Medicare, Medicaid or CHIP; the individual’s race, color, national origin, age, disability, sex, religion, gender identity or sexual orientation. Upland Hills Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex, religion, gender identity or sexual orientation.
Everyone is welcome at Upland Hills Health.
Upland Hills Health:
- 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 Upland Hills Health Admissions. If you believe that Upland Hills Health 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:
Upland Hills Health, Risk Manager
800 Compassion Way, Dodgeville, WI 53533
Phone 608-930-7100
TTY 608-930-0008
Fax 608-930-7250
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Upland Hills Health, Risk Manager is available to help you.
You can also file a civil rights complaint with 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 the U.S. Department of Health and Human Services – Office of Civil Rights Website.
LANGUAGE ACCESS
Español (Spanish) | Hmoob (Hmong) | 繁體中文 (Chinese) | Deutsch (German) | العربية (Arabic) | Русский (Russian) | 한국어 (Korean) | Tiếng Việt (Vietnamese) | Deitsch (Pennsylvania Dutch) | ພາສາລາວ (Lao) | Français (French) | Polski (Polish) | हिंदी (Hindi) | Shqip (Albanian) | Tagalog (Tagalog – Filipino)
Español (Spanish)
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-804-4271 (TTY: 1-608-930-0008).
Hmoob (Hmong)
LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-844-804-4266 (TTY: 1-608-930-0008).
繁體中文 (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 1-844-803-2017（TTY：1-608-930-0008）。
Deutsch (German)
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-844-803-2019 (TTY: 1-608-930-0008).
العربية (Arabic)
رقم ) 844-803-2016-1 ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم . 844-803-2016 ( 608-930-0008-1) ھاتف الصم والبكم
Русский (Russian)
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-844-804-4270 (телетайп: 1-608-930-0008).
한국어 (Korean)
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-844-804-4268 (TTY: 1-608-930-0008)번으로 전화해 주십시오.
Tiếng Việt (Vietnamese)
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-844-804-4273 (TTY: 1-608-930-0008).
Deitsch (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 1-608-930-8000 (TTY: 1-608-930-0008).
ພາສາລາວ (Lao)
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-844-804-4269 (TTY: 1-608-930-0008).
Français (French)
ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-844-803-2018 (ATS : 1-608-930-0008).
Polski (Polish)
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-844-803-2014 (TTY: 1-608-930-0008).
हिंदी (Hindi)
ध्यान द: यद आप हदी बोलते ह तो आपके िलए मुफ्त म भाषा सहायता सेवाएं उपलब्ध ह। 1-844-804-426565 (TTY: 1-608-930-0008) पर कॉल कर।
Shqip (Albanian)
KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-844-803-2015 (TTY: 1-608-930-0008).
Tagalog (Tagalog – Filipino)
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-844-804-4272 (TTY: 1-608-930-0008).
