Accessibility Services

It is the policy of Springfield Clinic not to discriminate on the basis of race, color, national origin, sex, age, or disability.  Springfield Clinic has an internal grievance procedure providing for prompt and equitable resolution of grievances alleging any action prohibited by the Rehabilitation Act of 1973, the U. S. Department of Human Services regulations implementing the Act; or the Affordable Care Act of 2010, or the Americans with Disabilities Act of 1991, all as amended from time to time.

Any person believing that they, a family member, or someone to whom they provide care (referred to as “you” from here on) has been subjected to discrimination may file a grievance under this procedure.  A failure to reasonably accommodate an individual with a disability to provide access to healthcare may constitute discrimination based on disability.  It is against the law for Springfield Clinic to retaliate against you for filing a grievance or against anyone who cooperates in the investigation of a grievance.

The Quality Management (“QM”) Director acts as the Section 504 Coordinator as well as the Section 1557 Coordinator (“Coordinator”) and is responsible for processing grievances.

You must submit the grievance to the QM Department within 7 days of the date you become aware of the alleged discriminatory action. All grievances will be forwarded promptly to the Coordinator. 

You must put your grievance in writing and you must include your name, the patient’s name (if you are not the patient), your address, and telephone number or email address, whichever you prefer.  You must state the event or action alleged to be discriminatory and the accommodation, remedy or relief sought.  You are encouraged to use Springfield Clinic’s Grievance Regarding Lack of Health Care Access Based on Disability Form.

Complete and submit the online form.

The Coordinator will investigate the grievance.  This investigation may be informal, but it will be thorough.  It will allow you, and/or others you believe would have information, to submit evidence related to the grievance.  The Coordinator will give you the results of the investigation in writing no later than 30 days after the grievance was filed.

You may appeal the Coordinator’s decision by writing to the Chief Executive Officer within 15 days of receiving the decision.  The Chief Executive Officer shall issue a written decision in response to the appeal no later than 30 days after its filing at:

Springfield Clinic, LLP
Chief Executive Officer
Section 504/1557 Appeals
P.O. Box 19248
Springfield, IL  62794-9248

Grievance Submission Online Form