To Report a Complaint or Grievance:

 

Marcy Grow-Dorman, RN, ASC Director Phone: (574) 970-4454 mgrowdorman@osmc.com

To Report a Complaint or Patient Safety Event:

Indiana State Department of Health Health Care Facility Complaint Program 2 North Meridian Street, 4B Indianapolis, IN 46204 Toll-Free: 1-800-246-8909 Voicemail: (317) 233-5359 Fax: (317) 233-7494 Email: complaints@isdh.in.gov Office of Quality and Patient Safety The Joint Commission One Renaissance Boulevard Oakbrook Terrace, IL 60181 Fax: (630) 792-5636 Online: www.jointcommission.org/report_a_complaint.aspx

For Medicare Beneficiaries: Information is available to you about your options, rights and protections under Medicare. The Medicare Beneficiary Ombudsman can help you with Medicare-related complaints, grievances and information requests.
Toll-Free: 1-800-Medicare (1-800-633-4227) TTY: 1-877-486-2048 Online: www.medicare.gov

To File a Civil Rights complaint: Centralized Case Management Operations U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Room 509F HHH Bldg. Washington, D.C. 20201 Toll-Free: 1-800-368-1019 TTD: 1-800-537-7697 Fax: (202) 619-3818 Email: OCRComplaint@hhs.gov Online: http://ocrportal.hhs.gov/ocr/smartscreen/main.jsf

OSMC Outpatient Surgery Center complies with applicable Federal Civil Rights laws and does not discriminate on the basis of race, color, national origin, religion, pregnancy, sex, sexual orientation, gender identity, age, or disability.

Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-398-2058.

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Last Updated – 03/13/2019 – Cristi Katona, LPN,

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