Citrus Valley Medical Associates Nondiscrimination Notice
Citrus Valley Medical Associates (CVMA) and its covered entities comply with applicable Federal civil rights laws
and do not exclude, deny benefits to, or otherwise unlawfully discriminate based on:
- Race
- Color
- Gender
- Sexual orientation
- Gender identity
- National origin
- Medical condition
- Physical handicap or disability
- Mental condition
- Veteran’s status
- Age
in admission to, participation in, or receipt of services and benefits under any of its programs and activities.
CVMA does not exclude people or treat them differently because of the categories listed above.
Also prohibited is retaliation of any kind against individuals who file complaints in good faith or who assist in a CVMA investigation.
Filing a Grievance with CVMA
If you believe that you have been unlawfully discriminated against, you can file a grievance with CVMA by phone or in writing:
- By phone: Call CVMA’s Director of Quality Management at
951-808-6240 (if you cannot speak or hear well, please call 711)
Hours:
Monday–Thursday: 8 a.m. – 5 p.m.
Friday: 8 a.m. – 2 p.m. - In writing: Mail complaint to CVMA’s Director of Quality Management
P.O. Box 5089, Norco, CA 92860
Filing a Civil Rights Complaint with the California Department of Health Care Services, Office of Civil Rights
You can also file a civil rights complaint by phone, in writing, or electronically:
- By phone: Call 916-440-7370 (if you cannot speak or hear well, please call 711).
- In writing: Fill out a complaint form or write a letter and send it to:
Deputy Director, Office of Civil Rights
Department of Health Care Services
Office of Civil Rights
P.O. Box 997413, MS 0009
Sacramento, CA 95899-7413 - Forms: Complaint forms are available at:
http://www.dhcs.ca.gov/Pages/Language_Access.aspx - Electronically: Send an email to:
[email protected]
Filing a Civil Rights Complaint with the U.S. Department of Health and Human Services
If you believe you have been discriminated against because of race, color, national origin, age, disability, or sex, you can also file a civil rights complaint by phone, in writing, or electronically:
- By phone: 1-800-368-1019 (TDD: 1-800-537-7697)
- In writing: Fill out a complaint form or send a letter to:
U.S. Department of Health and Human Services
200 Independence Avenue SW, Room 509F, HHH Building
Washington, DC 20201 - Forms: Complaint forms are available at:
http://www.hhs.gov/ocr/office/file/index.html - Electronically: Visit the Office for Civil Rights Complaint Portal at:
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf