Premier Medical Group complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Premier Medical Group does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
Premier Medical Group:
- 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, please make us aware when contacting our office.
If you believe that Premier Medical Group 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 (“Non-Discrimination Grievance”) with:
Premier Medical Group
ATTN: Compliance Officer
P.O. Box 3799
Clarksville, TN 37043
Phone: 931-245-7000 | Fax: 931-245-7069 | e-mail: firstname.lastname@example.org
You can file a Non-Discrimination Grievance in person or by mail, fax or email. If you need help filing a Non-Discrimination Grievance our Compliance Officer is available to assist 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 | 1-800-537-7697 (TDD)
Complaint forms are available at http://www hhs gov/ocr/offi e/file/index html.
Language assistance services are available. Click here for more information.