Title VI Compliance Policy Step 1 Acknowledgement

Purpose and Goal

NKY Health’s service provision policy is to encourage and support equal opportunity for receipt of services without regard to sex, sexual orientation, race, color, ancestry, religious creed, national origin, physical disability, mental disability, age, marital status, disabled veteran, Vietnam era veteran status, smoking status or any other legally protected class.

To that end:

  • All employees review the policy and receive training on procedures regarding service delivery as it pertains to the policy upon hire and annually thereafter.

  • All supplemental staff review the policy upon hire.

  • All long-term supplemental staff receive training on procedures regarding service delivery as it pertains to the policy annually.

The goal of this form is to confirm that NKY Health's compliance plan was reviewed.


Definitions You Need to Know

  • Limited English Proficiency (LEP) persons are defined as persons who cannot speak, read, write, or understand the English language at a level that permits them to interact effectively with providers.

Any Questions You Have

Please direct any questions and concerns about the items contained herein to the Deputy Director of Health.

Please direct any questions you may have or any clarification you may need regarding the provision of WIC services to your supervisor.

Please direct any questions you have about employment-related matters to the head of Human Resources.


How to Proceed

Please enter the information requested, check each item as you read it, and then submit the form.
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This form was created inside of Northern KY Health.