To ensure compliance with all applicable federal and state Federal civil rights laws.
VORI HEALTH MEDICAL GROUP, PLLC, a Tennessee professional limited liability company and its affiliated professional entities (collectively, “VHMG”), complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. VHMG does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
If you need these services, contact email@example.com.
If you believe that VHMG 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: firstname.lastname@example.org; Vori Health Medical Group, 520 Broadway 4th Floor, New York City, NY 10012; fax 1-901-284-2536; or customer support at 1-866-719-9611
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, you can reach us at email@example.com or customer support 1-866-719-9611 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.
Approved by: Mary I. O’Connor, MD, Chief Compliance Officer and Chief Medical Officer