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Nondiscrimination Notice

Notice of Nondiscrimination

Belmont Pines Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Belmont Pines does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

Belmont Pines Hospital provides free aids and services to people with disabilities to communicate effectively with us, such as:

  • Language Services Association Video (VRI) services
    • Qualified sign language interpreters
    • Written information in other formats

Belmont Pines Hospital provides free language services to people whose primary language is not English, such as:

  • Interpretalk interpreter services
  • Language Services Association Video (VRI) services
  • Qualified interpreters
  • Information written in other languages
  • If you need these services, contact Lisa Leskovec

If you believe that Belmont Pines 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:

Lisa Leskovec Director of Clinical Services/Risk Management/Compliance Officer
615 Churchill-Hubbard Rd. Youngstown, Ohio 44505
Phone: 330-759-2700 ext. 7945 (During Business Hours) After Hours ask the Nursing Supervisor to contact her on your behalf
Fax. 330-759-2776 [email protected]

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Lisa Leskovec 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
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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