8/22/2023 DISCRIMINATION IS AGAINST THE LAW Covington County Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Covington County Hospital does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Covington County Hospital provides free aids and services to people with disabilities to communicate effectively with us and access our services, such as: • Written and spoken information in other formats (large print, audio, accessible electronic formats, interpreters, etc.) • Handicap parking, curb cuts and ramps, elevators, etc. Covington County Hospital provides free language services to people whose primary language is not English, such as information written in other languages. • Name: Lynn Scott • Mailing Address: 701 South Holly Avenue, Collins, MS 39428 • Telephone number: 601-765-6711 • Email: lscott@covingtoncountyhospital.com If you believe that Covington County 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 Covington County Hospital’s Compliance Officer. You can file a grievance in person or by mail, or email. If you need help filing a grievance, Covington County Hospital’s Compliance Officer 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, 1-800368-1019, 800-537-7697 (TDD). Complaint forms are available at https://www.hhs.gov/civil-rights/filing-a-complaint/complaint-process/index.html. CovingtonCares 33
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