Nondiscrimination & Accessibility Notice

Midwest Orthopedic Specialty Hospital, part of Ascension, caregivers provide compassionate, personalized care for all, especially those who need it most. We treat our patients through person-centered care that respects, includes, connects and engages every patient we serve. So what does that commitment really mean?

  • We take time to listen to our patients and provide care that is personal and specific to their mind, body, spiritual and emotional health needs.
  • We treat our patients with respect and compassion, and communicate with them in a way they can understand.
  • We establish compassionate, enduring connections with our patients and their families.
  • We engage our patients in collaborative decision making and communicate their health options in an open and transparent way.
  • We focus on helping our patients live the best quality of life possible, which includes understanding their wishes and respecting their human dignity – a core of Catholic healthcare.

Discrimination is Against the Law

Ascension complies with applicable Federal civil rights laws and does not discriminate on the basis of race, creed, color, national origin, ancestry, religion, sex, sexual orientation, marital status, age, newborn status, handicap, ethnicity, culture, language, physical or mental disability, socioeconomic status, gender identity or expression or source of payment”

Ascension does not exclude people or treat them differently because of race, creed, color, national origin, ancestry, religion, sex, sexual orientation, marital status, age, newborn status, handicap, ethnicity, culture, language, physical or mental disability, socioeconomic status, gender identity or expression or source of payment.

Ascension 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 and other formats)

Ascension provides 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, please discuss this with your caregiver. If you have concerns, please feel free to contact Patient Relations at your care setting. You may also contact Marie Judd, Market Director, Patient & Family Experience at 1-855-462-4973.

If you believe that Ascension 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 with Patient Relations or contact our coordinator at:

Joseph Vanevehoven
Market Director, Patient & Family Experience
Ascension Wisconsin Regional Office
Attention: Joseph Vanevenhoven / co Carlene Enama
222 W College Avenue
Appleton WI 54912
Phone: 1-855-462-4973
Fax: 920-628-9219

You may file a grievance in person or by mail, fax or email. If you need help filing a grievance, Patient Relations at the facility is available to help you.

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 online 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, DC 20201

1–800–868–1019, 800–537–7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Spanish:
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-855-462-4973.

Hmong: 
LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-855-462-4973.

German: 
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-855-462-4973.

French: 
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-855-462-4973.

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1-855-462-4973。

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 1-855-462-4973.

Polish: 
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-855-462-4973.

Arabic: 
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-855-462-4973 رقم. 

Russian: 
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-855-462-4973.

Italian: 
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-855-462-4973.

Tagalog: 
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-855-462-4973.

Hindi: 
ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-855-462-4973

Laotion: 
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-855-462-4973.

Korean: 
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-855-462-4973 번으로 전화해 주십시오.

Vietnamese: 
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-855-462-4973.

Urdu: 
خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں 1-855-462-4973.

Somali: 
KA DIGTOONOW: Haddii aad ku hadasho [insert luqadda], adeegyada kaalmada luqadda, oo lacag la’aan ah, waxaa laga heli karaa in aad. Wac 1-855-462-4973.

Amharic: 
ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-855-462-4973.

Telugu: 
శ్రద్ధ పెట్టండి: ఒకవేళ మీరు తెలుగు భాష మాట్లాడుతున్నట్లయితే, మీ కొరకు తెలుగు భాషా సహాయక సేవలు ఉచితంగా లభిస్తాయి. 1-855-462-4973 కు కాల్ చేయండి.