Eagle Rock Ambulatory Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Eagle Rock Surgery does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Eagle Rock Ambulatory Surgery Center:
If you need these services, contact Risk Management at 208.542.4087.
If you believe that Eagle Rock Ambulatory Surgery Center 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: Risk Management, 3302 Valencia, Ste. #101, Idaho Falls, Idaho, 83404, 208.542.4087 or email@example.com. You can file a grievance in person, by mail, or email. If you need help filing a grievance, Risk Management is available to help you.
If you have an issue or concern in which you cannot resolve at the local level, you may contact the Idaho Department of Health and Welfare. Send your written complaint to the Department of Health and Welfare, 3232 Elder St., Boise, ID 83705 or call at (208) -6626.
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 1-800-368-1019, 800-537-7697(TDD) Washington, D.C. 20201
If you believe your health information privacy rights have been violated, you may also file a complaint with the U.S. Department of Health and Human Services. Your complaint must be in writing and you must name the organization that is the subject of your complaint and describe what you believe was violated. Send your written complaint to: Region 10, Office for Civil Rights, U.S. Department of Health and Human Services, 2201 Sixth Ave - Suite 900, Seattle, WA 98121-183.
Additionally, you may report patient safety events, concerns, or complaints to The Joint Commission. The preferred method is through the online submission form found at: jointcommission.org/ resources/patient-safety-topics/report-a-patient-safety-event/.
Effective Date: 02/19/2021