Culberson Hospital and Van Horn Rural Health Clinic comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, religion, sex, sexual orientation or gender identity.
Culberson Hospital and Van Horn Rural Health Clinic do not exclude people or treat them differently because of race, color, national origin, age, disability, religion, sex, sexual orientation or gender identity.
Culberson Hospital and Van Horn Rural Health Clinic provide services to people with disabilities to communicate effectively with us. Culberson Hospital and Van Horn Rural Health Clinic provide free language services to people whose primary language is not English, including:
If you need these services, contact Mary Ann Baker, RN, hospital chief nursing officer, at 432-283-2760, or Alex Corona, clinic manager, at 432-283-1020.
If you believe that Culberson Hospital or Van Horn Rural Health Clinic have failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, religion, sex, sexual orientation or gender identity, you can file a grievance with:
Chester Morris
Eisenhower & FM2185, Van Horn, TX, 79855
432.283.2760
cmorris@culbersonhospital.org
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Chester Morris 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).
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Favor de acudir a un empleado del hospital o clínica para recibir asistencia.
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Hãy yêu cầu nhân viên bệnh viện hoặc bệnh xá để được giúp đỡ.
注意：如果您使用繁體中文，您可以免費獲得語言援助服 務。请向医院或⻔诊⼯作⼈员寻求帮助。
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료 로 이용하실 수 있습니다. 도 움 이 필 요 하 시 면 병 원 또 는 보 건 소 직 원 에 게 문 의 하 시 기 바 랍 니 다 .
او العيادة ى الرجاء طلب المساعدة من موظف المستشف مقرب لصتا .ناجمالبكل رفاوتت ةیوغلال ةدعاسمال تامدخ نإف ،ةغلال ركذا ثدحتت تنك اذإ :ةظوحلم الک ۔ ںیہ بایتسد ںیم تفم تامدخ یک ددم یک نابز وک پآ وت ،ںیہ ےتلوب ودرا پآ ہسپتال ياکلينک ےک عمےل ےس مدد ےک ۓل رجوع رگا :رادربخ ںریک1- براۓ مہربان ى کريں
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Humingi ka na lang ng tulong sa empleyado ng ospital o klinik.
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Veuillez demander de l’aide à un employé de l’hôpital ou de la clinique.
ध्यान द : य द आप हदी बोलतेह तो आपकेि लए मुफ्त म भाषा सहायता सेवाएंउपलब्ध ह। कृ पया अ�ताल या ि ििक� ालय के कम�िारी सेसहायता मांगे।
رگا ھب نابز یرساف وگتفگ م ینیک،د ھستیتال نابز یی ر ھجوت : وصب اریناگ ارب یامش مھارف م یدشاب .اب -لطفأ از يک کارمند بيمارستان يا کلينيک تقاضای کمک کني د
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Würden Sie bitte einen Mitarbeiter des Krankenhauses (der Klinik) verständigen?
ચુના: જો તમે જરાતી બોલતા હો, તો િ ન: લ્કુ ભાષા સહાય સેવાઓ તમારા માટ ઉપલબ્ધ છ. કૃપા કરીનેમદદ માટે હૉિ�પટલ અથવા િ�લિનકના કમ�ચારીનેપૂછો.
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Пожалуйста, обратитесь за помощь к сотруднику больницы или клиники.
注意事項：日本語を話される場合、無料の言語支援をご利 用いただけます。病院もしくはクリニックの職員に通訳が必要 である事をお伝え下さい。
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການ ບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ກະລຸນາຂໍໃຫ້ພະນັກງານ ໂຮງຫມໍຫຼືພະນັກງານຄ ລີນິກມາຊ່ວ ຍເຫຼືອ
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