Notice of Nondiscrimination

Kingwood Pines Hospital complies with applicable Federal Civil Rights Laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kingwood Pines Hospital does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Kingwood Pines 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 Josh Corkern, Director of Risk Management.

If you believe that Kingwood Pines Hospital 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:  Josh Corkern, Director of Risk Management, Kingwood Pines Hospital, 2001 Ladbrook Drive, Kingwood, Texas 77339, Phone: 281-404-1001, Fax: 281-404-1015, [email protected].

You can file a grievance in person or by mail, fax, or email.  If you need help filing a grievance, Josh Corkern, Director of Risk Management, 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 athttps://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