Notice Informing Individuals about Non-Discrimination and Accessibility Requirements and Non-discrimination Statement: Discrimination is Against the Law
Download PDF Copy (English Only)
Delta Ambulance complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Delta Ambulance does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
- 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 persons whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, please contact Krystal Tavares, Compliance Officer.
If you believe that Delta Ambulance 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:
Krystal Tavares, Director of Compliance & Privacy
29 Chase Avenue
Waterville, ME 04901
Fax: 207- 861-4475
You can file a grievance in person or by mail, fax or e-mail. If you need help filing a grievance, Krystal Tavares, Compliance Officer, 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, by mail or by phone at:
U.S. Department of Health and Human Services
200 Independence Avenue
SW Room 509, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Claim forms are available at the address: http://www.hhs.gov/OCR/Office/file/index.html