Notice of Nondiscrimination

Pediatric Urgent Care of Northern Colorado complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Pediatric Urgent Care of Northern Colorado does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Pediatric Urgent Care of Northern Colorado:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
  • Qualified sign language interpreters
  • Written information in other formats (large print, audio, accessible electronic formats, other formats)
• Provides free language services to people whose primary language is not English, such as:
  • Qualified interpreters
  • Information written in other languages

If you need these services, contact Pediatric Urgent Care of Northern Colorado. If you believe that Pediatric Urgent Care of Northern Colorado 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: 4845 Weitzel St., Suite 101 Timnath, CO 80547or call 970-494-2626, fax (970) 494-2583 or email. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Pediatric Urgent Care of Northern Colorado 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 here, 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, 800-537-7697 (TDD).

Complaint forms are available here.