A Culture of Caring
We serve diverse communities, with diverse needs. Our organization offers multiple resources, including language assistance, in an effort to help meet the unique needs of our patients and our communities.
Community Ambulance complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Community Ambulance does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
- 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 Kacy Keene.
If you believe that Community Ambulance 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:
Kacy Keene, Compliance and Security Officer,
242 Holt Avenue, Macon, GA 31201,
877-455-7181 Phone, 478-207-3662 Fax, email@example.com.
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, we are 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.
The above notice is available in multiple languages. Click HERE for additional translations.
Language Assistance Services
Notice of Privacy Practices
Medical Records Release FormClick Here