Notice of Non-Discrimination and Accessibility Rights
Madison County Memorial Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Madison County Memorial Hospital does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.
Madison County Memorial Hospital:
- Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services 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, which may include:
- Qualified interpreters
- Information written in other languages
If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact Dan VandenBosch, Section 1557 Coordinator.
Filing a Grievance
If you believe that Madison County Memorial 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:
Dan VandenBosch
Section 1557 Coordinator
300 West Hutchings Street
Winterset, IA 50273
Phone: (515) 462-2373
Fax: (515) 462-9746
Email: DVandenBosch@madisonhealth.com
You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Dan VandenBosch, Section 1557 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 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
Phone: 1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html.