NOTICE OF NON-DISCRIMINATION PURSUANT TO ACA SECTION 1557
Titusville Area Hospital complies with applicable Federal civil rights
laws and does not discriminate on the basis of race, color, national origin,
age, disability, or sex. Titusville Area Hospital does not exclude people
or treat them differently because of race, color, national origin, age,
disability, or sex.
Titusville Area Hospital:
- 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 Nursing Supervisor at 827-1851
or Barbara Bromley via
bbromley@titusvillehospital.org.
If you believe that Titusville Area Hospital 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:
Barbara Bromley, Patient Representative, by mail at 406 West Oak St.,
Titusville, PA 16354, by telephone at (814) 827-1851 or via email at
bbromley@titusvillehospital.org. If you need help filing a grievance, Barbara Bromley 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.