Baylor Scott & White Emergency Hospital
PATIENT & VISITOR NOTICE OF NON-DISCRIMINATION

As a recipient of Federal financial assistance, Baylor Scott & White Emergency Hospitals complies with all applicable laws, regulations, and policies related to non-discrimination, and does not discriminate, exclude, or otherwise treat individuals, patients, or visitors differently on the basis of race; ethnicity; familial status; ancestry; color; religion; sex; sexual orientation or preference; gender identity; national origin (including Limited English Proficiency); age; handicap or disability; genetic information; veteran status; or any other protected characteristic under applicable laws in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, including the assigning or transfers of patients to rooms, floors, and sections; assigning staff to patients; utilization of the health care facility; or granting staff privileges of professionally qualified personnel, whether carried out by Baylor Scott & White Emergency Hospitals directly or through a contractor or any other entity with which Baylor Scott & White Emergency Hospitals arranges to carry out its programs and activities.This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination act of 1975, Section 1557 of the Affordable Care Act (ACA), regulations of the U.S. Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of Federal Regulations Parts 80, 84, and 91, and applies to all patients, health care professionals and staff members of Baylor Scott & White Emergency Hospitals. Health care professionals include physicians, allied health professionals and other licensed health care professionals. Staff members include all employees, agency personnel, contractors, consultants, students, and volunteers.

Notice of Program Accessibility

Baylor Scott & White Emergency Hospitals and all its programs and activities are accessible to and usable by disabled persons, including persons who are deaf, hard of hearing, or blind, or who have other sensory impairments.

Baylor Scott & White Emergency Hospitals:

  • Provides people with disabilities reasonable modifications and free auxiliary aids and services to people with disabilities, or English proficiency to access Baylor Scott & White Emergency Hospitals and to communicate effectively with us. Access features include:
    • Accessible parking designated specifically for disabled persons.
    • Curb cuts and ramps between parking areas and buildings.
    • Level access into first floor level with elevator access to all other floors.
    • Accessible offices, meeting rooms, bathrooms, public waiting areas, cafeteria, patient treatment areas, including examining rooms and patient wards.
    • Qualified sign language interpreters via video remote interpreting or other aids for hearing impaired individuals
    • Written information in multiple formats including large print, audio, accessible electronic formats, or other formats for visually impaired individuals
    • Flash cards, alphabet boards and other communication boards.
    • Assistive devices for persons with impaired manual skills.
    • Free language assistance services to people whose primary language is not English, which may include:
      • Qualified interpreters or a language line
      • Information written in other languages

If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, please contact Baylor Scott & White Emergency Hospitals ADA/1557 Coordinator at the hospital’s phone number listed below.

Grievance Procedure:

If you believe that Baylor Scott & White Emergency Hospitals 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: See hospital address/contact information below.

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Baylor Scott & White Emergency Hospitals ADA/1557 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

English: ATTENTION: If you speak English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call hospital phone number below.

Spanish: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También se dispone de ayuda y servicios auxiliares adecuados para proporcionar información en formatos accesibles. Llame al número de teléfono del hospital a continuación.

Vietnamese: CHÚ Ý: Nếu bạn nói tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ miễn phí có sẵn cho bạn. Các hỗ trợ và dịch vụ phụ trợ thích hợp để cung cấp thông tin ở các định dạng có thể truy cập cũng có sẵn miễn phí. Gọi số điện thoại bệnh viện bên dưới.

Chinese: 注意：如果您会说中文，可以使用免费的语言协助服务。此外，还免费提供适当的辅助设备和服务，以无障碍格式提供信息。致电 拨打下面的医院电话号码.

Korean: 주의: 한국어를 구사할 수 있다면 무료 언어 지원 서비스를 이용할 수 있습니다. 접근 가능한 형식으로 정보를 제공하기 위한 적절한 보조 도구 및 서비스도 무료로 제공됩니다. 아래의 병원 전화번호로 전화하십시오.

Arabic تنبيه: إذا كن ت تتحد ث العربية ، فإ ن خدمات المساعد ة اللغوي ة المجانية متاحة ل ك. كما تتوفر مجانا مساعدا ت وخدمات مساعدة مناسب ة لتوفير المعلوما ت بأشكال يسه ل الوصول إليها. اتص ل برقم هات ف المستشف ى أدناه .

Urdu: توج ہ: اگ ر آ پ اردو بولت ے ہيں، تو آ پ ک ے لئے مفت زبان کی معاونت ک ی خدمات دستياب ہيں. قاب ل رسائی فارميٹس ميں معلومات فراہم کرن ے ک ے لئے مناس ب معاون امدا د او ر خدمات بهی مفت دستياب ہيں۔ نيچے ہسپتال کے فون نمبر پ ر کا ل کريں

Tagalog: PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa numero ng telepono ng ospital sa ibaba.

French: ATTENTION : Si vous parlez français, des services d’assistance linguistique gratuits sont à votre disposition. Des aides et des services auxiliaires appropriés pour fournir de l’information dans des formats accessibles sont également disponibles gratuitement. Appelez le numéro de téléphone de l’hôpital ci-dessous.

Hindi: ध्यान दें: यदद आप द िंदी बोलते ैं, तो आपके ललए मुफ्त भाषा स ायता सेवाएिं उपलब्ध ैं। सुलभ प्रारूपों में जानकारी प्रदान करने के ललए उपयुक्त स ायक स ायता और सेवाएिं भी नन: शुल्क उपलब्ध ैं। नीचे ददए गए अस्पताल के फोन निंबर पर कॉल करें। Farsi: توج ه: اگ ر ب ه زبان فارس ی صحبت م ی کنيد، خدما ت کمک زبانی رايگان در دستر س شماس ت. کمک ها و خدمات کمک ی مناسب برای ارائه اطلاعا ت د ر قال ب های قابل دستر س نيز ب ه صورت رايگان در دستر س هستند. با شماره تلفن بيمارستان در زي ر تماس بگيريد .

German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachhilfen zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie die unten stehende Telefonnummer des Krankenhauses an.

Gujarati: ધ્યાન આપો : જો તમે ગુજરાતી બોલતા હો, તો તમારા માટે નનિઃશુલ્ક ભાષા સહાયતા સેવાઓ ઉપલબ્ધ છે. સુલભ ફોમેટમાાં માહહતી પૂરી પાડવા માટે યોગ્ય સહાયક સહાયક સહાયકો અને સેવાઓ પણ નનિઃશુલ્ક ઉપલબ્ધ છે. નીચે હૉસ્પપટલના ફોન નાંબર પર કૉલ કરો.

Russian: ВНИМАНИЕ: Если вы владеете русским языком, вам доступны бесплатные услуги языковой помощи. Также на безвозмездной основе предоставляются соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах. Позвоните по номеру телефона больницы, указанному ниже.

Japanese: 注意:日本語が話せる方は、無料のランゲージアシスタンスサービスをご利用いただけます。アクセシブルな形式で情報を提供するための適切な補助補助およびサービスも無料で利用できます。以下の病院の電話番号に電話してください。

Laotian: ຄວາມຄວາມສົນໃຈ: ຖ້າທ່ານເວົ້າພາສາລາວ, ທ່ານສາມາດບໍລິການຊ່ວຍເຫ ຼືອພາສາໂດຍບໍ່ຕ້ອງເສຍຄ່າ. ນອກຈາກນ ້ນ ຍ ງມີການຊ່ວຍເຫລຼືອ ແລະ ບໍລິການຊ່ວຍເຫ ຼືອທີ່ເຫມາະສົມເພຼື່ອໃຫ້ຂໍ້ມູນໃນຮູບແບບທີ່ເຂົ້າເຖິງໄດ້ໂດຍບໍ່ຕ້ອງເສຍຄ່າໃຊ້ຈ່າຍ. ໂທ ຫາ ເບີ ໂທລະສ ບ ຂອງ ໂຮງຫມໍ ທາງ ລ ່ມ.

Baylor Scott & White Emergency Hospitals

Baylor Scott & White Emergency Hospital at Aubrey
Attn: ADA/1557 Coordinator
26791 US Highway 380 E., Suite 100
Aubrey, TX 76227
972-347-2525

Baylor Scott & White Emergency Hospital at Burleson
Attn: ADA/1557 Coordinator
12500 South Freeway, Suite 100
Burleson, TX 76028
214-294-6250

Baylor Scott & White Emergency Hospital at Colleyville
Attn: ADA/1557 Coordinator
5500 Colleyville Blvd., Suite 100
Colleyville, TX 76034
214-294-6350

Baylor Scott & White Emergency Hospital at Grand Prairie
Attn: ADA/1557 Coordinator
3095 Kingswood Blvd., Suite 100
Grand Prairie, TX 75052
972-854-0009

Baylor Scott & White Emergency Hospital at Keller
Attn: ADA/1557 Coordinator
620 S. Main St., Suite 100
Keller, TX 76248
214-294-6100

Baylor Scott & White Emergency Hospital at Mansfield
Attn: ADA/1557 Coordinator
1776 US-287, Suite 100
Mansfield, TX 76063
214-294-6300

Baylor Scott & White Emergency Hospital at Murphy
Attn: ADA/1557 Coordinator
511 FM 544, Suite 100
Murphy, TX 75094
214-294-6150

Baylor Scott & White Emergency Hospital at Rockwall
Attn: ADA/1557 Coordinator
1975 Alpha Dr., Suite 100
Rockwall, TX 75087
214-294-6200