LIFE-NWPA complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, federal origin, age, disability, or sex. LIFE-NWPA does not exclude people or treat them differently because of race, color, federal origin, age, disability, or sex.
LIFE-NWPA:

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 LIFE-NWPA’s Compliance Officer. If you believe that LIFE-NWPA has failed to provide these services or discriminated in another way on the basis of race, color, federal origin, age, disability, or sex, you can file a grievance with:

Compliance Officer
121 West 12th Street
Erie, PA 16501
Email: MedD-QAPI@lifenwpa.org
Phone: 844-456-5433
Fax: 814-456-0383
TTY: 711

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Compliance Officer 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 http://www.hhs.gov/ocr/office/file/index.html.

Statement of Nondiscrimination:

LIFE-NWPA complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, federal origin, age, disability, or sex.

ATTENTION: If you speak Spanish or Chinese, language assistance services, free of charge, are available to you. Call Language Line Services; 1 Lower Ragsdale Drive, Bldg. 2; Monterey, CA 93940 @ 1-800-752-6096 (TTY: 1-711).

Spanish, Chinese, Vietnamese, Russian, Pennsylvanian Dutch, Korean, Italian, French, Arabic, German, Gujarati, Polish, French Creole, Mon-Khmer-Cambodian and Portuguese

SPANISH:

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-752-6096 (TTY: 711).

CHINESE:

注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-752-6096 (TTY: 711).

VIETNAMESE:

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-752-6096 (TTY: 711).

RUSSIAN:

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-752-6096 (TTY: 711).

PENNSYLVANIA DUTCH:

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-800-752-6096 (TTY: 711).

KOREAN:

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-752-6096 (TTY:711).번으로 전화해 주십시오.

ITALIAN:

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-800-752-6096 (TTY: 711).

FRENCH:

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-800-752-6096 (TTY: 711).

ARABIC:

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم (رقم هاتف الصم والبكم: 1-800-752-6096 (TTY: 711).

GERMAN:

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-752-6096 (TTY: 711).

GUJARATI:

સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-800-752-6096 (TTY: 711).

POLISH:

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-800-752-6096 (TTY: 711).

FRENCH CREOLE:

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-800-752-6096 (TTY: 711).

MON-KHMER-CAMBODIAN:

ប្រយ័ត្ន៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរស័ព្ទ 1-800-752-6096 (TTY: 711).

PORTUGUESE:

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-xxx-1-800-752-6096 (TTY: 711).