Rolling Hills Hospital complies with applicable Federal civil rights laws and does not discrimination on the basis of race, color, national origin, age, disability, or sex. Rolling Hills Hospital does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Rolling Hills 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 Paige Cotton, Civil Rights Coordinator.

If you believe that Rolling Hills 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:

Paige Cotton, Civil Rights Coordinator
Rolling Hills Hospital
2014 Quail Hollow Circle
Franklin, TN 37067
Phone: 615-628-5700
Fax: 615-628-5709
[email protected]

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Paige
Cotton, Civil Rights Coordinator, 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.