Residential and Outpatient Handbook - Plymouth - 51

Notice of Nondiscrimination and
Accessibility Requirements
Hazelden Betty Ford Foundation complies with
applicable Federal civil rights laws and does not
discriminate on the basis of race, color, national origin,
age, disability or sex.
Services provided:
Hazelden Betty Ford Foundation provides services and
aids to patients, family members and companions free
of charge to ensure effective communication with the
Foundation. Such services include, but are not limited to
the following:
* Qualified sign language interpreters
* Qualified spoken language interpreters for people
whose primary language is not English
* Written information in other language and formats
(e.g. large print, audio, accessible electronic formats)
* Auxiliary aids
If you are in need of these services, contact us at:
AccessibilityAdvocate@HazeldenBettyFord.org
To file a grievance:
If you believe that Hazelden Betty Ford Foundation
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
Foundation at:
Hazelden Betty Ford Foundation
Attn: Accessibility Advocate
15251 Pleasant Valley Road, Mail Stop RE3
Center City, Minnesota 55012
You can also file a civil rights complaint with the U.S.
Department of Health and Human Services, Office of
Civil rights electronically through the Office of Civil
Rights Portal, available at Office for Civil Rights
Complaint Portal: ocrportal.hhs.gov/ocr/smartscreen/
main.jsf, or by mail or phone at:
U.S. Dept 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)
50
Complaint forms are available at: hhs.gov/ocr/office/
file/index.html
LANGUAGE SERVICES FREE OF CHARGE
If you are in need of language services, please contact
us toll free at 1-855-348-7059.
ATENCIÓN: si habla español, tiene a su disposición
servicios gratuitos de asistencia lingüística. Llame al
1-844-698-3780.
Mandated Reporting
Minnesota law mandates reporting maltreatment of
minors to Child Protection Services in the county
where the alleged abuse occurred when there is reason
to believe child abuse or neglect is happening or has
happened within the last three years. Minnesota law
also mandates reporting when someone has reason
to believe, that a vulnerable adult has been or is being
abused, neglected, or exploited and must immediately
report such knowledge or suspicion to the Minnesota
Adult Abuse Report Center (MAARC). Professional
staff at Hazelden Betty Ford Foundation are mandated
reporters, and staff will follow reporting requirements
as defined by Minnesota law. If you have questions
regarding these laws or are aware of information you
believe may be reportable, please ask your assigned
clinician.
Maltreatment of vulnerable adults
Suspected maltreatment of vulnerable adults will be
reported if:
* There is suspected abuse, neglect, and/or financial
exploitation
* The individual is assessed as being a vulnerable
individual in a residential setting or a functionally
vulnerable individual in an outpatient (nonresidential)
setting
* There is a consent authorizing the ability to report.
A mandatory reporter need not make a report under
State law where a Federal law specifically prohibits a
report, unless the vulnerable adult, guardian or legal
representative has consented to the disclosure in
conformation with the Federal requirements.

http://hhs.gov/ocr/office/file/index.html http://hhs.gov/ocr/office/file/index.html https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf

Residential and Outpatient Handbook - Plymouth

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