Non-Discrimination Statement

Non-Discrimination Notice

Cameron Memorial Community Hospital, including Cameron Medical Group and its affiliates (hereafter referred to “CMCH”) follows Federal civil rights laws and does not discriminate on the basis of your race, color, national origin, ancestry, age, disability, sex, sexual orientation, gender identity, mental or physical disability, health condition/diagnosis, political affiliation, immigration status, source of income, marital status, veteran 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 Patient Advocate at 260-667-5452.

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 Patient Advocate to assist:

Cameron Memorial Community Hospital

Attention: Patient Advocate

416 E Maumee St,

Angola, IN  46703

260-667-5452, or email: patientadvocate@cameronmch.com

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) or forms are available at: https://www.hhs.gov/ocr/office/file/index.html

Equal Opportunity

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 program.intake@usda.gov.