Fillable unified carrier registration complaints form

Description
U.S. Department of Health and Human Services · Office for Civil Rights HOW TO FILE CIVIL RIGHTS DISCRIMINATION COMPLAINT WITH THE OFFICE FOR CIVIL RIGHTS If you believe that you have been discriminated against because of your race, color, national origin, disability, age, sex or religion by a health care provider (such as a hospital, health clinic, or nursing home) or by a State or local government social...
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