ACA Policy

Discrimination is Against the Law

 

Burton Creek Rural Clinic, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Burton Creek Rural Clinic, LLC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

 

Burton Creek Rural Clinic, LLC:

 

• 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 Sonja Stauffer.

 

If you believe Burton Creek Rural Clinic, LLC 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:

 

Sonja Stauffer, MS

Burton Creek Rural Clinic, LLC

805 Kentucky Avenue

West Plains, MO 65775

Phone: 417-256-2111

Fax: 417-256-4858

Email: sstauffer@burtonmc.com

 

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Sonja Stauffer 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.

 

 

 

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. 1-417-256-2111.

 

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-417-256-2111.

 

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1-417-256-2111.

 

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-417-256-2111.

 

OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-xxx-xxx-xxxx (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 1-417-256-2111.

 

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-417-256-2111.

 

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-xxx-xxx-xxxx (رقم هاتف الصم والبكم: 1 1-417-256-2111.

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다1-417-256-2111.번으로 전화해 주십시오.

 

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-417-256-2111.

 

ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez 1-417-256-2111.).

 

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-417-256-2111.

 

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: 1-417-256-2111.

 

توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با 1-417-256-2111 تماس بگیرید

 

XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-417-256-2111.

 

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-417-256-2111.

 

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-417-256-2111.