Great Elm DME, Inc and its affiliated entities (the “Company”) comply with applicable Federal, state, and local civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex in its health programs and activities. The Company does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
The Company provides the following auxiliary aids and services, free of charge, to people with disabilities to communicate effectively with us and to allow such persons to equally and effectively participate in their medical care:
The company also provides the following language services, free of charge, to people whose primary language is not English:
If you need assistance with these aids and services, or have other concerns relating to our provision of auxiliary aids or services, please contact the Company’s Customer Service Manager, at (480) 830-7700 or by email at firstname.lastname@example.org.
If you believe that the Company has failed to provide these services or has discriminated in
another way on the basis of race, color, national origin, age, disability or sex, you can file a
grievance in person, or by mail, email, phone or fax to:
Great Elm DME
2330 W Broadway Rd Ste 107
Mesa, AZ 85202
Phone: (480) 830-7700 ext. 5280
Fax: (480) 830-7708
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/smartscreen/main.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, 1-800-537-7697 (TDD)