In accordance with federal, state laws, and Section 1557 of the Patient Protection and Affordable Care Act, Old Colony Hospice does not discriminate on the basis of race, color, national origin, ancestry, disability, sex, sexual orientation, gender identity, sex characteristics, marital status, pregnancy, religion, or age in admission or access to, or treatment or employment in, its programs, services or activities.  

Old Colony Hospice provides free aids and services to people with disabilities to communicate effectively with us and provides free language services to people whose primary language is not English. 

Old Colony Hospice provides appropriate and reasonable auxiliary aids and services for individuals with disabilities (including individuals’ companions with disabilities) to ensure effective communication.

Langue & Interpreter Services

• Old Colony Hospice provides qualitied interpreters and information in alternate formats, such as braille or large print to ensure accessibility and equal opportunity to participate for individuals with disabilities.
• Old Colony Hospice provides language services, electronic, written translated documents and oral interpretation, free of charge and in a timely manner.
• To access our language assistance services, auxiliary aids and services, and for assistance in getting a reasonable modification, patient/caregiver/family/companion may contact their patient care team member (nurse case manager or social worker).

If you believe that Old Colony Hospice 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:

Director of Regulations & Compliance (Section 1557 Coordinator)
Old Colony Hospice
321 Manley St.
West Bridgewater, MA 02379
Phone: (781) 341-4145 ext 313
Fax: (781) 297-7345
info@oldcolonyhospice.com

To File a Grievance with Old Colony Hospice
You can file a grievance in person or by mail, fax, or email. by contacting our Director of Regulations &Compliance (Section 1557 Coordinator) Contact information is above.

Complaints of discrimination may also be filed with:

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, email, 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)

Mail to:
Centralized Case Management Operations
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201

Email to: OCRComplaint@hhs.gov

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

Equal Employment Opportunity Commission: 1-800-669-4000
The Massachusetts Department of Public Health: 1-800-462-5540

Spanish

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 1-781-341-4145 o hable con su proveedor.

Traditional Chinese

中文 注意：如果您说[中文]，我们将免费为您提供语言协助服务。我们还免费提 供适当的辅助工具和服务，以无障碍格式提供信息。致电 1-781-341-4145（文 本电话：或咨询您的服务提供商。

Português do Brasil

ATENÇÃO: Se você fala Portugues do Brasil, serviços gratuitos de assistência linguística estão disponíveis para você. Auxílios e serviços auxiliares apropriados para fornecer informações em formatos acessíveis também estão disponíveis gratuitamente. Ligue para 1-781-341-4145 ou fale com seu provedor.”

Russian

РУССКИЙ ВНИМАНИЕ: Если вы говорите на русский, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону

1-781-341-4145 или обратитесь к своему поставщику услуг.

Arabic

العربية

تنبيه: إذا كنت تتحدث اللغة العربية، فستتوفر لك خدمات المساعدة اللغوية المجانية. كما تتوفر وسائل

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أو تحدث إلى مقدم الخدمة"

Italian

ATTENZIONE: se parli Italiano, sono disponibili servizi di assistenza linguistica gratuiti. Sono inoltre disponibili gratuitamente ausili e servizi ausiliari adeguati per fornire informazioni in formati accessibili. Chiama l'1-781-341-4145 o parla con il tuo fornitore."

Vietnamese

LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số 1-781-341-4145 hoặc trao đổi với người cung cấp dịch vụ của bạn.

Cambodian

យកចិត្តទុកដាក់៖ ប្រសិនបើអ្នកនិយាយ Cambodian សេវាជំនួយភាសាគឺឥតគិតថ្លៃ

អាចរកបានសម្រាប់អ្នក។ ជំនួយ និងសេវាកម្មជំនួយសមស្រប ដើម្បីផ្តល់ព័ត៌មាននៅក្នុង

ទម្រង់ដែលអាចចូលប្រើបានក៏អាចរកបានដោយឥតគិតថ្លៃផងដែរ។ ហៅទូរសព្ទទៅលេខ

1-781-341-4145 ឬនិយាយទៅកាន់អ្នកផ្តល់សេវារបស់អ្នក។

French Creole

ATANSYON: Si ou pale French Creole, sèvis asistans lang gratis yo se
disponib pou ou. Èd oksilyè apwopriye ak sèvis pou bay enfòmasyon nan
fòma aksesib yo disponib tou gratis. Rele 1-781-341-4145 oswa pale ak founisè ou."

Korean

주의: [한국어]를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. 1-781-341-4145번 으로 전화하거나 서비스 제공업체에 문의하십시오."

Polish

UWAGA: Osoby mówiące po polsku mogą skorzystać z bezpłatnej pomocy językowej. Dodatkowe pomoce i usługi zapewniające informacje w dostępnych formatach są również dostępne bezpłatnie. Zadzwoń pod numer 1-781-341-4145 lub porozmawiaj ze swoim dostawcą”.

Greek

ΠΡΟΣΟΧΗ: Εάν μιλάτε ελληνικά, υπάρχουν διαθέσιμες δωρεάν υπηρεσίες υποστήριξης στη συγκεκριμένη γλώσσα. Διατίθενται δωρεάν κατάλληλα βοηθήματα και υπηρεσίες για παροχή πληροφοριών σε προσβάσιμες μορφές. Καλέστε το 1-781-341-4145 ή απευθυνθείτε στον πάροχό σας».

French

ATTENTION : Si vous parlez Français, des services d'assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le 1-781-341-4145 ou parlez à votre fournisseur. »

Hindi

ह िंदी ध्यान दें: यहद आप ह िंदी बोलते ैं, तो आपकेहलए हनिःशुल्क भाषा स ायता सेवाएिं उपलब्ध ोती ैं। सुलभ प्रारूपोिंमेंजानकारी प्रदान करनेकेहलए उपयुक्त स ायक साधन और सेवाएँभी हनिःशुल्क उपलब्ध ैं। 1-781-341-4145 पर कॉल करेंया अपनेप्रदाता सेबात करें ।

Gujarati

ધ્યાન આપો: જો તમેગુજરાતી બોલતા હો તો મફત ભાષાકીય સહાયતા સેવાઓ તમારા માટ ઉપલબ્ધ છે. યોગ્ય ઑક્ઝિલરી સહાય અનેઍઝસેક્સબલ ફૉમેટમાાંમાક્હતી પૂરી પાડવા માટની સેવાઓ પણ ક્વના મૂલ્યેઉપલબ્ધ છે. 1-781-341-4145 પર કૉલ કરો અથવા તમારા પ્રદાતા સાથેવાત કરો.”