The above-listed Practice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. The Practice does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. The Practice:
If you need these services, contact the Practice’s Office Manager (the “Civil Rights Coordinator”). If you believe that the Practice 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 the Practice’s Civil Rights Coordinator pursuant to the above-listed contact information. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Practice’s Civil Rights Coordinator is available to help you.
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 S.W. Room 509F, HHH Building Washington, DC 20201 Toll Free: 1-800-868-1019 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. For those with limited English proficiency (LEP) requiring translation services, click here.