Boice-Willis Clinic, PA complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Boice-Willis Clinic, PA does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. 
 

Boice-Willis Clinic, PA: 
 

• 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 Risk Manager.
 

If you believe that Boice-Willis Clinic, PA 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:

Risk Manager

901 N Winstead Ave,
Rocky Mount, NC 27804

Telephone: (252) 937-0432
Fax: (252) 937-2903

hipaa@boice-willis.com

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You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Risk Manager 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.