Non-Discrimination StatementCameron Hospital
Cameron Memorial Community Hospital, including Cameron Medical Group, Rural Health Clinics and its affiliates (hereafter referred to “CMCH”) follows applicable Federal civil rights laws and does not discriminate against any person on the basis of race, color, national origin, age, mental or physical disability, religion, sex (including sexual orientation, and gender identity), pregnancy related conditions, health status, diagnosis, political affiliation, immigration status, income source, marital status, and/or any other basis prohibited by law. CMCH does not exclude people or treat them differently because of any of these classifications.
CMCH 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)
CMCH 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, notify CMCH staff or contact our Civil Rights Coordinator at 260-667-5175.
If you believe CMCH has not provided these needed services or discriminated against you in
another way, you can file a complaint by mail or calling our Civil Rights Coordinator to assist:
Cameron Memorial Community Hospital
Attention: Civil Rights Coordinator/Risk Management
416 E Maumee St.
Angola, IN 46703
260-667-5175, or email: firstname.lastname@example.org
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
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD) or forms are available at:
This institution is an equal opportunity provider and employer. If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html or at any USDA office, or call 866-632-9992 to request the form.
You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington D.C. 20250-9410, by fax 202-690-7442 or email at email@example.com.
©2019 Cameron Memorial Community Hospital
416 E. Maumee Street, Angola, IN 46703