Notice of Nondiscrimination
Discrimination Is Against the Law
JBH Clinic, LLC is committed to complying with all applicable Federal civil rights laws. We do not discriminate against, exclude, or treat people differently based on race, color, national origin, age, disability, or sex.
Our Commitment
We provide free aids and services to individuals with disabilities to ensure effective communication, including:
Qualified sign language interpreters
Information in accessible formats (large print, audio, electronic, etc.)
We provide free language services to individuals whose primary language is not English, including:
Qualified interpreters
Written materials in other languages
If you require any of the above services, please contact our Division Manager.
Filing a Grievance
If you believe JBH Clinic, LLC has not provided these services or has otherwise discriminated based on race, color, national origin, age, disability, or sex, you may file a grievance with:
HIPAA Privacy Manager
Stepana Bandery Ave, 28A
Kyiv, Kyiv Oblast, Ukraine, Zip – 02000
Phone: +38 044 237 32 14
Email: [email protected] (Attn: Privacy Officer)
You may submit a grievance in person, by mail, fax, or email. If you need help filing a grievance, our HIPAA Privacy Manager is available to assist you.
Civil Rights Complaints
You may also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:
Electronically via the Office for Civil Rights Complaint Portal
By Mail or Phone
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 http://www.hhs.gov/ocr/office/file/index.html.