Fulton County Health Center

Nondiscrimination Statement: Discrimination is Against the Law

Fulton County Health Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.  Fulton County Health Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Fulton County Health Center provides:

  • Free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats).
  • Free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, contact a staff member.

If you believe that Fulton County Health Center 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 in person, by mail, fax, or email with:

Sarah Stover, Fulton County Health Center Compliance Officer

725 South Shoop Avenue, Wauseon, Ohio, 43567

Phone: 419-335-2015

Fax: 419-330-2669

Email: [email protected]

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, HHHBuilding

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.

Full Nondiscrimination Statement

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at

http://www.ascr.u sda.gov/complaint filing cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

  1. mail: U.S. Department of Agriculture ; Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410
  2. fax: (202) 690-7442; or
  3. email: [email protected].

USDA is an equal opportunity provider, employer, and lender.

Spanish Translation

 De acuerdo con la ley federal de derechos civiles y las reglamentaciones y politicas de

derechos civiles del Departamento de Agricultura de Estados Unidos (U.S. Department of Agriculture, USDA), se prohibe al USDA, sus agencias, oficinas y empleados, e instituciones

que participan o administran los programas del USDA, discriminar por motivos de raza,

color, origen nacional, religion, genero, identidad de genera (incluidas las expresiones degenero), orientaci6n sexual, discapacidad, edad, estado civil, estado familiar/parental, ingresos derivados de un programa de asistencia publica, creencias polf ticas, o reprimendas o represalias por actividades previas sobre derechos civiles, en cualquier programa o actividad llevados a cabo o financiados por el USDA (no todas las bases se aplican a todos los programas). Las fechas limite para la presentaci6n de remedios y denuncias varian segt1n el programa o el incidente.

Las personas con discapacidades que requieran medias altemativos de comunicaci6n para obtener informaci6n sobre el programa (por ej., Braille, letra grande, cinta de audio, lenguaje americano de sefias, etc.) deberan comunicarse con la Agencia responsable o con el Centro TARGET del USDA al (202) 720-2600 (voz y TTY) o comunicarse con el USDA a traves del Servicio Federal de Transmisiones al (800) 877-8339. Asimismo, se puede disponer de informaci6n del programa en otros idiomas ademas de ingles.

Para presentar una denuncia por discriminaci6n en el programa, complete el Formulario de denuncias por discriminaci6n en el programa del USDA, AD-3027, que se encuentra en linea en http://www.ascr.usda.gov/complaint filing cust.html, o en cualquier oficina del USDA, o escriba una carta dirigida al USDA e incluya en la carta toda la informaci6n solicitada en el formulario. Para solicitar una copia del formulario de denuncias, 1lame al (866) 632-9992.

Envie su formulario completado o su carta al USDA por los siguientes medias:

    1.  correo: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW Washington, D.C. 20250-9410
    2. fax: (202) 690-7442; 0
    3.  correo electr6nico: program.[email protected].

EIDepartamento de Agricultura de Estados Unidos (USDA) es un proveedor, empleador y prestador que ofrece igualdad de oportunidades.

When/Where to use the Full Statement? The full USDA Nondiscrimination Statement must be posted in all RD offices in public view. Additionally, the full statement must be included on all materials produced by RD for public information, public education or public dissemination, unless the size of the material is too small to include the full statement (see Short Nondiscrimination Statement). All RD webpages must include a link to the full statement posted on the U SDA homepage.

Recipients of RD program assistance shall post the full USDA Nondiscrimination Statement in all recipient offices and include, in full, on all print and non-print materials, unless the size of the material is too small to include the full statement (see Short Nondiscrimination Statement). 

Short Nondiscrimination Statement 

“USDA is an equal opportunity provider, employer, and lender.” Where appropriate, a recipient may state:

“This institution is an equal opportunity provider.”

Spanish Translation

 “El Departamento de Agricultura de Estados Unidos (USDA) es un proveedor, empleador

y prestador que ofrece igualdad de oportunidades.” Where appropriate, a recipient may state:

“Esta instituci6n es un proveedor de servicios con igualdad de oportunidades.”

When/Where to use the Short Statement? The short statement should be used if the material is too small to permit the inclusion of the full USDA Nondiscrimination Statement. The statement should be in the same print size as the text of the material.

Similarly, if an audio or video presentation does not lend itself to include the full statement, the presentation shall, in a conspicuous and meaningful manner, include the short statement.

Multi-Language Assistance Services  

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-419-335-2015.

 Spanish

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-419-335-2015.

  Chinese

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1- 419-335-2015.

  German

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-419-335-2015.

  Arabic

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-419-335-2015 (رقم اتف

 Pennsylvania Dutch

Wann du Deitsch (Pennsylvania German / Dutch) schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-419-335-2015.

  Russian

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-419-335-2015.

  French

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-419-335-2015.

  Vietnamese

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-419-335-2015.

  Cushite- (OROMO)

XIYYEEFFANNAA:Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-419-335-2015.

  Korean

주의: 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다. 1-419-335-2015 번으로전화해주십시오

  Italian

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-419-335-2015.

  Japanese

注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-419-335-2015  まで、お電話にてご連絡ください。

  Dutch

AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel 1-419-335-2015.

  Ukrainian

УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-419-335-2015.

  Romanian

ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-419-335-2015.