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Attn: Kaiser Permanente Civil Rights Coordinator Member Relations Grievance Operations P.O. Box 939001 San Diego CA 92193 How to file a grievance with the California Department of Health Care Services Office of Civil Rights (For Medi-Cal Beneficiaries Only) You can also file a civil rights complaint with the California Department of Health Care Services Office of Civil Rights in writing, by phone or by email: ● By phone: Call DHCS Office of Civil Rights at 916-440-7370 (TTY 711) ● By mail: Fill out a complaint form or send a letter to: Deputy Director, Office of Civil Rights Department of Health Care Services Office of Civil Rights P.O. Box 997413, MS 0009 Sacramento, CA 95899-7413 Complaint forms are available at: http://www.dhcs.ca.gov/Pages/Language_Access.aspx ● Online: Send an email to [email protected] How to file a grievance with the U.S. Department of Health and Human Services Office of Civil Rights You can file a discrimination complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You can file your complaint in writing, by phone, or online: ● By phone: Call 1-800-368-1019 (TTY 711 or 1-800-537-7697) ● By mail: Fill out a complaint form or send a letter to: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 Complaint forms are available at: http:www.hhs.gov/ocr/office/file/index.html ● Online: Visit the Office of Civil Rights Complaint Portal at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

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