OCR Notice of Non-Discrimination

CHESAPEAKE MEDICAL SOLUTIONS T/A YOUR DOC’S IN
OCR NOTICE OF NONDISCRIMINATION

Your Doc’s In complies with applicable Federal civil rights laws and does not discriminate on the basis of race,color, national origin, age, disability or sex.

Your Doc’s In does not exclude people or treat them differently because of race, color, national origin, age,
disability or sex.

Your Doc’s In

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
  o Qualified sign language interpreters
  o Written information in other formats (large print, audio, accessible electronic formats)

• Provides free language services to people whose primary language is not English, such as:
  o Qualified interpreters
  o Information written in other languages

If you need these services, contact Monique Welch, Director of Clinical Services.

If you believe that Your Doc’s In 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:

Monique Welch, Director of Clinical Services

2425 N. Salisbury Blvd
Salisbury, MD. 21801
Phone: (443) 210-2541
Fax: (443) 210-2544

mwelch@yourdocsin.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Monique Welch, our Director of Clinical Services, 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, DC 20201
Toll Free: 1-800-868-1019,
800-537-7697 (TDD).

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