Mease Countryside Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, or religion. Mease Countryside Hospital does not exclude people or treat them differently because of race, color, national origin, age, disability, sex, or religion.
Mease Countryside 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 the Civil Rights Coordinator or the Administrator on Duty (AOD).
If you believe that Mease Countryside Hospital has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, sex, or religion you can file a grievance with: Mail: Civil Rights Coordinator, BayCare Health System, 2985 Drew Street, MS 1003, Clearwater, FL 33759, Call: 1-844-343-1685, TTY: 7-1-1, Fax: ATTN Civil Rights Coordinator 813-635-2667, E-mail: civilrightscoordinator@baycare.org. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Civil Rights Coordinator 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.
Español/Spanish
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-343-1685 (TTY: 7-1-1).
Kreyòl Ayisyen (French Creole)
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-844-343-1685 (TTY: 7-1-1).
Français (French)
ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-844-343-1685 (ATS : 7-1-1).
Deutsch (German)
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-844-343-1685 (TTY: 7-1-1).
Italiano (Italian)
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-844-343-1685 (TTY: 7-1-1).
Português (Portuguese)
ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-844-343-1685 (TTY: 7-1-1).
Tagalog (Tagalog – Filipino)
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-844-343-1685 (TTY: 7-1-1).
العربية(Arabic)
ملاحظة: اذا كنت تتكلم اللغة العربية، لدينا خدمات الترجمة اللغوية المجّانية. اتصل بالرقم
1-844-343-1685 (TTY: 7-1-1).
Tiếng Việt (Vietnamese)
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-844-343-1685 (TTY: 7-1-1).
繁體中文(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 1-844-343-1685（TTY：7-1-1).
Polski (Polish)
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-844-343-1685 (TTY: 7-1-1).
Русский (Russian)
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звонит 1-844-343-1685 (телетайп: 7-1-1).
한국어 (Korean)
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-844-343-1685 (TTY: 7-1-1)번으로 전화해 주십시오
જુ રાતી (Gujarati)
ચુ ના: જો તમે જુ રાતી બોલતા હો, તો િન:લ્ુ ક ભાષા સહાય સેવાઓ તમારા માટ ઉપલબ્ધ છ. ફોન કરો 1-844-343-1685 (TTY: 7-1-1).
ภาษาไทย(Thai)
เรียน: ถา้ คุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-844-343-1685 (TTY: 7-1-1).