Patient’s Bill of Rights
This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a FTCA deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).
Katahdin Valley Health Center is an equal opportunity provider and employer.
If you wish to file a Civil Rights complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866)632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at firstname.lastname@example.org.
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