Notice of Non-Discrimination and Language Assistance
Our Commitment to Non-Discrimination
FundaMental Health is committed to complying with applicable state and federal civil rights laws. FundaMental Health does not exclude people or discriminate based on gender, sex, age, race, color, national origin, creed, religion, disability, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, military status, veteran status, or any other characteristic or status protected by state, federal, or local law.
Translation Services
If you do not speak English, or if you have a speech or hearing impairment, you can have free aids and language assistance services provided for you, including:
- Qualified interpreters
- Information written in other languages
- Written information in other formats (including large print, audio, and accessible electronic formats)
If you need translation services, you can contact FundaMental Health at 1-800 [insert toll-free telephone number] (TTY: _________).
Complaint Process
If you believe that FundaMental Health 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:
FundaMental Health Compliance Department at __[address]____ or via email at hello@fundamental.health.
You can file a grievance by mail, telephone or fax.
If you need help filing a grievance or would like additional information on this nondiscrimination policy, the public 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 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 Ave. SW, Room 509F
HHH Building
Washington, DC 20201
800-868-1019
800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.