Notice of Non-discrimination

Northern Hospital of Surry County complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Northern Hospital of Surry County does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
 
Northern Hospital of Surry County: 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:
If you need these services, contact Jill Puckett, Manager of Compliance and Risk/ Civil Rights Coordinator.
If you believe that Northern Hospital of Surry County 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:
 
Jill Puckett, Manager of Compliance and Risk/ Civil Rights Coordinator
830 Rockford Street, Mount Airy,North Carolina 27030
O 336-719-7400, Fax 336-786- 3775, jpuckett@nhsc.org
 
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Jill Puckett, Manager of Compliance and Risk/Civil Rights Coordinator 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 
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.

 

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