Non-Discrimination

Leading MDS with applicable Federal civil rights laws. You or your representative have the right to not be discriminated against based on age, diagnosis, race, color, ethnicity, national origin, religion, sex, gender, gender identity, gender expression, sexual orientation, immigration status, disability of either the patient, the patient’s surrogate, patient’s family or support person or the source of payment in compliance with applicable federal, state, and local laws and regulations.

Leading MDS:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    1. Qualified sign language interpreters
    2. 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:
    1. Qualified interpreters
    2. Information written in other languages

If you believe that Leading MDS 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: the Limited English Proficiency Hotline, Leading MDS (623) 295-1190 or fill out the form below. You can also file a grievance in person or by mail to 13555 SUITE 205, W. MCDOWELL RD, GOODYEAR, AZ – 85395

File a Grievance Form

Your Name (required)

Your Email (required)

Subject

Your Message

Disclaimer: Grievance form should not be used to communicate any privileged or HIPAA-regulated information.

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

1-800-368-1019800-537-7697 (TDD)

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

Español (Spanish)

ATENCIÓN: Si usted habla otro idioma, hay un servicio sin costo disponible para ayudarle. Hable con un representante de Leading MDS o llame al (623) 295-1190.

العربية (Arabic)

تنبيه: إذا†كنت†تتحدث†بلغة†أخرى،†فإن†خدمات†المساعدة†اللغوية†المجانية†متاحة†لك. تحدث†مع†أحد†ممثلي†نظام† Leading MDS للخدمات†الصحية†أو†اتصل†بالرقم

(623) 295-1190.

繁體中文 (Chinese)

请注意:如果您说其他语言,我们会为您提供免费的语言援助服务。
和 Leading MDS 代表交 谈或者致电 (623) 295-1190.

فارسی (Farsi)

توجه∫†اگر†به†زبانى†دیگر†صحبت†می†کنید،†خدمات†كمكى†به†صورت†رایگان†در†اختیارتان†قرار†مي†گیرندƆبا†یک

Leading MDS صحبت†كنید†یا†با†شماره† (623) 295-1190 تماس†بگیریدÆ

Français (French)

ATTENTION : Si vous parlez une autre langue, des services d’assistance gratuits sont à votre disposition. Contactez un représentant de Leading MDS ou appelez le (623) 295-1190.

Deutsch (German)

HINWEIS: Wenn Sie eine andere Sprache sprechen, stehen für Sie kostenlos Sprachassistenzdienste zur Verfügung. Wenden Sie sich an einen Leading MDS-Vertreter oder rufen Sie die Nummer (623) 295-1190 an.

日本語 (Japanese)

注意:その他の言語を母語とされる場合には、無料のアシスタントサービスのご用意もございます。Leading MDS の担当者または (623) 295-1190 までご連絡ください。

Tagalog (Tagalog – Filipino)

ATTENTION: Kung nagsasalita ka ng ibang wika, may magagamit kang libreng serbisyo ng tulong sa wika. Makipag-usap sa isang kinatawan ng Leading MDS o tumawag sa (623) 295-1190.

Русский (Russian)

ВНИМАНИЕ! Если вы говорите на другом языке, вам могут предоставить бесплатные услуги перевода. Обратитесь к представителю Leading MDS или позвоните по телефону (623) 295-1190.

한국어 (Korean)

주의: 다른 언어를 구사하시는 경우, 무료 지원 서비스를 받으실 수 있습니다. Leading MDS 담당자와 상담하거나 (623) 295-1190 번으로 전화하십시오.

Tiếng Việt (Vietnamese)

CHÚ † Nếu quý vị nói một ngôn ngữ khác, thì có sẵn các dịch vụ hỗ trợ, miễn phí cho quý vị. Hãy hỏi một đại diện Leading MDS hoặc gọi số (623) 295-1190.

ภาษาไทย (Thai)

โปรดทราบ หากคุณพูดภาษาอื่น เรามีบริการช่วยเหลือโดยไม่มีค่าใช้จ่ายไว้ให้คุณ คุยกับตัวแทนของ Leading MDS หรือโทร (623) 295-1190.

srpsko-hrvatski (Serbo-Croatian)

PAŽNJA: Ako govorite još neki jezik, besplatno su vam dostupne usluge pomoći. Obratite se Leading MDS predstavniku ili pozovite (623) 295-1190.