NONDISCRIMINATION NOTICE Discrimination is against the law. Kern Family Health Care follows State and Federal civil rights laws. Kern Family Health Care does not unlawfully discriminate, exclude people, or treat them differently because of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation. Kern Family Health Care provides: y Free aids and services to people with disabilities to help them communicate better, such as: ✓ Qualified sign language interpreters ✓ Written information in other formats (large print, audio, accessible electronic formats, other formats) y 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 Kern Family Health Care at 1-800-391-2000 between 8:00am – 5:00pm, Monday through Friday. If you cannot hear or speak well, please call the California Relay Service at 711. Upon request, this document can be made available to you in braille, large print, audiocassette, or electronic form. To obtain a copy in one of these alternative formats, please call or write to: Kern Family Health Care 2900 Buck Owens Boulevard Bakersfield, CA 93308 1-800-391-2000 711 (California Relay Service) HOW TO FILE A GRIEVANCE If you believe that Kern Family Health Care has failed to provide these services or unlawfully discriminated in another way on the basis of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity, or sexual orientation, you can file a grievance with Kern Family Health Care’s Discrimination Grievance Coordinator. You can file a grievance by phone, in writing, in person, or electronically: y By phone: Contact Kern Family Health Care’s Discrimination Grievance Coordinator between 8:00am – 5:00pm, Monday through Friday by calling 1-800-391-2000. Or, if you cannot hear or speak well, please call the California Relay Service at 711. y In writing: Fill out a complaint form or write a letter and send it to: Discrimination Grievance Coordinator Kern Family Health Care 2900 Buck Owens Boulevard Bakersfield, CA 93308 y In person: Visit your doctor’s office or Kern Family Health Care and say you want to file a grievance. y Electronically: Visit Kern Family Health Care’s website at www.kernfamilyhealthcare.com. OFFICE OF CIVIL RIGHTS – CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES You can also file a civil rights complaint with the California Department of Health Care Services, Office of Civil Rights by phone, in writing, or electronically: y By phone: Call 916-440-7370. If you cannot speak or hear well, please call 711 (California Relay Service). y In writing: Fill out a complaint form or send a letter to: TM —Continued on the next page
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