DRAFT — not yet published. The content below follows the federal model language and must be reviewed and completed by the practice before it goes live. Every [CONFIRM: …] marker is a fact only the practice can supply.
[CONFIRM: this notice is required under Section 1557 of the Affordable Care Act for entities receiving federal financial assistance, which includes most practices billing Medicare or Medicaid. Confirm this applies before publishing.]
Immediate Care Center of Westmont complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. We do not exclude people or treat them differently because of any of these characteristics.
If you need these services, contact us on (630) 324-6825.
You can file a grievance with:
You can file in person, by mail, by phone or by email. If you need help filing, our Civil Rights Coordinator will 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 at ocrportal.hhs.gov, 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 (TDD 1-800-537-7697).
[CONFIRM: taglines in the top 15 languages spoken in Illinois are typically required. Confirm the required language list and add the translated taglines here.]

Monday – Friday: 9:00 AM – 6:00 PM
Saturday – Sunday: 9:00 AM – 5:00 PM
These settings are saved on this device only.