Our commitment is to provide care and services that are accessible to all and free from discrimination. We invite you to review our Non-Discrimination Statement. We also provide information on Language Assistance for individuals not proficient in English. If at any time you feel our actions have not lived up to our non-discrimination statement, we invite you to take advantage of our Grievance Procedure.

Non-Discrimination Statement

Kline Galland complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Nor will we exclude people or treat them differently because of race, color, national origin, age, disability or sex.

As part of this commitment . . .

  • We provide free aids and services to people with disabilities to communicate effectively with us. For example, this includes:
    • Qualified sign language interpreters, and
    • Written information in other formats, such as large print, audio, and online.
  • We provide access to free language services to people whose primary language is not English, such as:
    • Qualified interpreters, and
    • Information written in other languages.

If you need any of these services, please contact Angela Keophilavong, who serves as our designated Non-Discrimination Coordinator at:

Kline Galland
Attn:  Non-Discrimination Coordinator
 7500 Seward Park Ave S.
Seattle, WA 98118
(206) 725-8800

If you believe that we have not provided these services or that we have discriminated in another way on the basis of race, color, national origin, age, disability or sex, you may file a grievance with our Non-Discrimination Coordinator. Please see our Grievance Procedure and Form. You may file a grievance in person, by mail, fax or email. If you need help filing a grievance, our Non-Discrimination Coordinator will be glad to help you.

You may 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 directed to: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Language Assistance

The following are published here pursuant to Section 1557 or the Affordable Care Act and implementing regulations, 45 CFR 92.8(d)(1)

Spanish
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-(360) 385-0610.

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-(360) 385-0610.

Vietnamese
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-(360) 385-0610.

Korean
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-(360) 385-0610.

Russian
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-(360) 385-0610.

Tagalog – Filipino
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-(360) 385-0610.

Ukrainian
УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-(360) 385-0610.

Amharic
ማስታወሻ:  የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-(360) 385-0610

Cambodian
ប្រយ័ត្ន៖  បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។  ចូរ ទូរស័ព្ទ 1-(360) 385-0610

Japanese
注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-(360) 385-0610まで、お電話にてご連絡ください。

Hmong
LUS CEEV:  Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj.    Hu rau 1-(360) 385-0610

Arabic
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 

13603850610

German
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-(360) 385-0610.

Lao
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-(360) 385-0610.

Grievance Procedure

Kline Galland has adopted an internal grievance procedure providing for prompt and fair resolution of complaints based on alleged discrimination prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR part 92, issued by the U.S. Department of Health and Human Services. Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain health programs and activities. Section 1557 and its implementing regulations are available to you in the office of Angela Keophilavong, who serves as our designated Non-Discrimination Coordinator at:

Kline Galland
Attn:  Non-Discrimination Coordinator
 7500 Seward Park Ave S.
Seattle, WA 98118
(206) 725-8800

Any person who believes someone has been subjected to discrimination on the basis of race, color, national origin, sex, age or disability may file a grievance under this procedure. Persons who allege discrimination, file a grievance, or participate in investigating a grievance may not be punished or retaliated against for doing so.

Here is our procedure:

  • Grievances must be submitted to our Non-Discrimination Coordinator within 60 days of the date the person filing the grievance becomes aware of the alleged discriminatory action.
  • A complaint must be in writing, containing the name and address of the person filing it. The complaint must also state the problem or action alleged to be discriminatory and the remedy or relief sought.
  • Our Non-Discrimination Coordinator (or another person she names) shall investigate the complaint. This investigation may be informal, but it will be thorough, giving all interested persons an opportunity to submit information or evidence relevant to the complaint. Our Non-Discrimination Coordinator will maintain our files and records relating to such grievances. To the extent possible, and in accordance with applicable law, our Non-Discrimination Coordinator will take appropriate steps to preserve the confidentiality of files and records relating to grievances and will share them only with those who have a need to know.
  • Our Non-Discrimination Coordinator will issue a written decision on the grievance, based on a preponderance of the evidence, no later than 30 days after its filing, including a notice to the complainant of his/her right to pursue further administrative or legal remedies.
  • The person filing the grievance may appeal the decision of our Non-Discrimination Coordinator by writing to our Chief Operating Officer within 15 days of receiving the Non-Discrimination Coordinator’s decision. Appeals should be directed to the following address:
    Kline Galland
    Attn:  Chief Operating Officer
    7500 Seward Park Ave S.
    Seattle, WA 98118
    (206)725-8800

A written decision in response to an appeal will be provided no later than 30 days after receipt.

The availability and use of this grievance procedure does not prevent a person from pursuing other legal or administrative remedies, including filing a complaint of discrimination on the basis of race, color, national origin, sex, age or disability in court or with the U.S. Department of Health and Human Services, Office for Civil Rights. A person may file a complaint of discrimination electronically through the Office for Civil Rights Complaint Portal, which is 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. Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html. Such complaints must be filed within 180 days of the date of the alleged discrimination.

We will make appropriate arrangements to ensure that individuals with disabilities and individuals with limited English proficiency are provided auxiliary aids and services or language assistance services, respectively, if needed to participate in this grievance process. Such arrangements may include, but are not limited to, providing qualified interpreters, providing taped cassettes of material for individuals with low vision, or assuring a barrier-free location for the proceedings. Our Non-Discrimination Coordinator will be responsible for such arrangements.