Notice of Non-Discrimination

Discrimination is against the law!

Surgery Center 121 complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Surgery Center 121 does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Surgery Center 121:

    • Provides free aids and services to people with disabilities to communicate
      effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible
      electronic formats, other formats)
    • Provides free language services to people whose primary language is not
      English, such as:
    • Qualified interpreters
    • Information written in other languages

If you need these services, contact Andi Boren at 469.606.0060.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-808-9008 (TTY: 1-888-221-3758).
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-808-9008 (TTY: 1-888-221-3758).
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-808-9008 (TTY: 1-888-221-3758).
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1-888-808-9008 (TTY: 1-888-221-3758).
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888 808-9008 (TTY: 1-888-221-3758).번으로 전화해 주십시오.
)رﻗﻢ 888-808-9008-1ﻣﻠﺤﻮظﺔ: إذا ﻛﻨﺖ ﺗﺘﺤﺪث اذﻛﺮ اﻟﻠﻐﺔ، ﻓﺈن ﺧﺪﻣﺎت اﻟﻤﺴﺎﻋﺪة اﻟﻠﻐﻮﯾﺔ ﺗﺘﻮاﻓﺮ ﻟﻚ ﺑﺎﻟﻤﺠﺎن. اﺗﺼﻞ ﺑﺮﻗﻢ
.(888-221-3758-1ھﺎﺗﻒ اﻟﺼﻢ واﻟﺒﻜﻢ:
ﺧﺒﺮدار: اﮔﺮ آپ اردو ﺑﻮﻟﺘﮯ ﮨﯿﮟ، ﺗﻮ آپ ﮐﻮ زﺑﺎن ﮐﯽ ﻣﺪد ﮐﯽ ﺧﺪﻣﺎت ﻣﻔﺖ ﻣﯿﮟ دﺳﺘﯿﺎب ﮨﯿﮟ ۔ ﮐﺎل.
1-888-808-9008 (TTY: 1-888-221-3758).ﮐﺮﯾﮟ
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-808-9008 (TTY: 1-888-221-3758).
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-888-808-9008 (ATS: 1-888-221-3758).
ध्यान द: यिद आप िहंदी बोलते ह तो आपके िलए मुत म भाषा सहायता सेवाएं उपलध ह। कॉल कर 1-888-808-9008 (TTY: 1-888-221-3758).

If you believe that Surgery Center 121 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:
Andi Boren
Civil Rights Coordinator
9955 Gillespie Drive, Suite 200
Plano, TX 75025
469-606-0060
Fax: 469-606-0009
aboren@surgerycenter121.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Andi Boren, Civil Rights Coordinator is available to help you.
You can also file a civil rights complaint with 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, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 1-800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
Surgery Center 121 complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Surgery Center 121 cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

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