Wichita Nephrology Group, PA complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.

Wichita Nephrology Group, PA does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

Wichita Nephrology Group, PA provides free aids and services to people with disabilities to communicate effec‐ tively with us, such as:

• Qualified sign language interpreters; and
• Written information in other formats (large print, audio, accessible electronic formats and other formats).

Wichita Nephrology Group, PA 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, contact our Compliance Officer at 316‐263‐5891.

If you believe that Wichita Nephrology Group, PA 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:

Michelle Hershberger
818 N. Emporia, Ste. 310
Wichita, KS 67214
Phone: 316‐263‐5891
Fax: 316‐263‐3083
Email: mhershberger@wngpa.com

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Michelle Hershberger, 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 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.