Notice of Nondiscrimination

Catskill Area Hospice and Palliative Care, Inc. d/b/a Helios Care complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Catskill Area Hospice and Palliative Care, Inc. d/b/a Helios Care does not exclude people or treat them differently because of age, race, creed/religion, color, national origin, alienage or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, genetic predisposition or carrier status, marital status, partnership status, and victim of domestic violence, or any other protected status.

Catskill Area Hospice and Palliative Care, Inc. d/b/a Helios Care:

• 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 the President/CEO

If you believe that Catskill Area Hospice and Palliative Care, Inc. d/b/a Helios Care 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:

Dan Ayres
297 River Street Service Road
Oneonta, NY 13820
Phone: (607) 432-6773
Fax: (607) 432-7741
Email: [email protected]

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Dan Ayres, President/CEO, 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)

Effective 10/2016; Section 1557, Provision of Affordable Care Act

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. Call 1-607-432-6773.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.
Llame al 1-607-432-6773.
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†1-607-432-6773.
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги
перевода. Звоните 1-607-432-6773.
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.
Rele 1-607-432-6773.
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-607-432-6773.
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza
linguistica gratuiti. Chiamare il numero 1-607-432-6773.
אויפמערקזאם: אויב איר רעדט אידיש, זענען פארהאן פאר אייך שפראך הילף סערוויסעס פריי פון –
3776-234-706-1 – רופט. אפצאל
ল করনঃ ি◌যদ িআপন বাংলা, কথা  বলত 2পারন,  তাহল ি◌◌নঃখরচায় ভাষা সহায়তা ি◌ পরষবা উপল  আ◌ছ।
2◌ফান করন 1-607-432-6773.
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.
Zadzwoń pod numer 1-607-432-6773.
(xxx-xxx-xxxx- ***** ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات الساعدة اللغویة تتوافر لك بالجان. اتصل برقم 1
رقم
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés
gratuitement. Appelez le 1-607-432-6773.
خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال ک
6773 – 432 – 607 – 1
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong
sa wika nang walang bayad. Tumawag sa 1-607-432-6773.
ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής
υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 1-607-432-6773.

Effective 10/2016; Section 1557, Provision of Affordable Care Act