Contact Us for Language Assistance
Tomah Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. If you speak a language other than English, language assistance services, free of charge, are available to you. Please call Tomah Health 1-608-372-2181.
Notice of Non-Discrimination
At Tomah Health, we respect your right to quality care with dignity, respect and appreciation of the beliefs and values of all patients. We provide non-discriminatory access to medical treatment or accommodations, regardless of sex, race, religion, color, creed, ethnicity, culture, language, national origin, or ancestry, age, physical or mental disability, marital status, source of income, socioeconomic status, arrest or conviction record, veteran status, military participation, physical appearance, sexual orientation, gender identity or expression, political beliefs, or newborn status.
Tomah Health provides:
- Free aids and services to people with disabilities to assist with communication
- Free language services to people whose primary language is not English
If you believe that Tomah Health has failed to provide these services or discriminated in another way on the basis of sex, race, religion, color, creed, ethnicity, culture, language, national origin, or ancestry, age, physical or mental disability, marital status, source of income, socioeconomic status, arrest or conviction record, veteran status, military participation, physical appearance, sexual orientation, gender identity or expression, political beliefs, or newborn status, you can file a grievance with:
Amanda Burkhalter, MS, CSW
Designated Section 1557 Coordinator
501 Gopher Drive
Tomah, WI 54660
Phone: 608-377-8443
Fax: 608-377-8752
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 also available at http://www.hhs.gov/ocr/office/file/index.html.
Most Commonly Used Languages
To assist those with limited English proficiency, explanations about the availability of language assistance has been translated into the most commonly used languages in our area.
