Notice About Nondiscrimination and Accessibility Requirements

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

Canyon Ridge Hospital provides free aids and services to people with disabilities 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, such as:
  • Qualified interpreters
  • Information written in other languages

If you need these services, contact Patient Advocate.

If you believe that Canyon Ridge 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:

Patient Advocate, Canyon Ridge Hospital
5353 G Street, Chino CA 91 710
Phone: 909-590-4073

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Patient Advocate 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/smartscreen/main.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 http://www.hhs.gov/

Language Assistance Services for Individuals with Limited English Proficiency

ATTENTION: If you speak (Spanish, Chinese, Vietnamese, Tagalog, Korean, Armenian, Persian/ Farsi, Russian, Japanese, Arabic, Panjabi, Mon–Khmer/ Can1bodian, Hmong, Hindi, Thai) language assistance services, free of charge, are available to you. Language Line Interpreter Service can be called: 1-855-579-2702, TIY: 1-800-735-2922 (English) 1-800-855-3000 (Spanish)