Religious Freedom for Vaccines: New office at HHS

Armed with Knowledge

https://www.hhs.gov/conscience/complaints/filing-a-complaint/index.html

Section #9 covers: state or local government agency that is responsible for administering health care • State or local government income assistance or human service agency • Hospital • Medicaid and Medicare provider • Physician or other health care professional in private practice with patients assisted by Medicaid • Family health center • Community mental health center • Alcohol and drug treatment center • Nursing home • Foster care home • Public and private adoption or foster care agency • Day care center • Senior citizen center • Nutrition program • Any entity established under the Affordable Care Act • HMO • Pharmacy • Homeless shelter •Health researcher

Video of press conference of the announcement:  https://www.facebook.com/HHS/videos/1727117023985283/

How to File a Conscience or Religious Freedom Complaint

Complaint Requirements

Your complaint must:

• Be filed in writing by mail, fax, e-mail, or via the OCR Complaint Portal
• Name the health care or social service provider involved, and describe the acts or omissions, you believe violated conscience or religious freedom laws or regulations

File a Conscience or Religious Freedom Complaint Online

Open the OCR Complaint Portal and select the type of complaint you would like to file.

Complete as much information as possible, including:

• Information about you, the complainant
• Details of the complaint
• Any additional information that might help OCR when reviewing your complaint

You will then need to electronically sign the complaint and complete the consent form. After completing the consent form you will be able to print out a copy of your complaint to keep for your records.

File a Conscience or Religious Freedom Complaint in Writing

File a Complaint Using the Conscience or Religious Freedom Complaint Form Package

Open and fill out the Conscience and Religious Freedom Complaint Form Package in PDF format. You will need Adobe Reader software to fill out the complaint and consent forms. You may either:

• Print and mail the completed complaint and consent forms to:
  Centralized Case Management Operations
  U.S. Department of Health and Human Services
  200 Independence Avenue, S.W.
  Room 509F HHH Bldg.
  Washington, D.C. 20201
• Email the completed complaint and consent forms to [email protected] (Please note that communication by unencrypted email presents a risk that personally identifiable information contained in such an email, may be intercepted by unauthorized third parties)

File a Complaint without the Conscience or Religious Freedom Complaint Form Package

If you prefer, you may submit a written complaint in your own format by either:

• Mail to
  Centralized Case Management Operations
  U.S. Department of Health and Human Services
  200 Independence Avenue, S.W.
  Room 509F HHH Bldg.
  Washington, D.C. 20201
• Email to [email protected]

Be sure to include:

• Your name
• Full address
• Telephone numbers (include area code)
• E-mail address (if available)
• Name, full address and telephone number of the person, agency or organization you believe discriminated against you
• A brief description of what happened, including how, why, and when you believe your (or someone else’s) conscience or religious freedom rights were violated
• Any other relevant information
• Your signature and date of complaint
• The name of the person on whose behalf you are filing if you are filing complaint for someone else

You may also include:

• Any special accommodations for us to communicate with you about this complaint
• Contact information for someone who can help us reach you if we cannot reach you directly
• If you have filed your complaint somewhere else and where you’ve filed

If you mail a complaint, be sure to send it to:

Centralized Case Management Operations
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F HHH Bldg.
Washington, D.C. 20201

You do not need to sign the complaint and consent forms when you submit them by email because submission by email represents your signature.

Language assistance services for OCR matters are available and provided free of charge. OCR services are accessible to persons with disabilities.

Filing Complaints with Other Agencies

If you have a complaint about housing, law enforcement, labor, education, or employment discrimination, OCR does not investigate these types of complaints. Find out where to get help

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