Lafayette Hospital + Clinics

Nondiscrimination Notice

Discrimination is Against the Law

Lafayette Hospital + Clinics complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Lafayette Hospital + Clinics does not exclude people or treat them differently because of race, color, national origin, age, disability, sexual orientation or gender identity. This is an Equal Opportunity Provider.

Lafayette Hospital + Clinics:

Provides free aids and services to people with disabilities to communicate effectively
with us, such as:

  • 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,
such as:

  • Qualified interpreters
  • Information written in other languages

If you need these services, let a staff member know if you believe that Lafayette Hospital + Clinics has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, sexual orientation or gender identity, you can file a grievance with:

Section 1557/Civil Rights Coordinator
211 Bev Anderson Dr., Darlington, WI 53530 (608)-776-4466.

You can file a grievance in person or by mail, or email. If you need help filing a grievance, 1557/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 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
1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at https://www.hhs.gov/ocr/office/file/index.html.

This institution is an equal opportunity provider and employer.