AFFORDABLE CARE ACT DISCRIMINATION DISCLAIMER

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DISCIMINATION IS AGAINST THE LAW
Panhandle Orthopaedics, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Panhandle Orthopaedics, LLC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Panhandle Orthopaedics, LLC provides free aids and services to people with disabilities to communicate effectively with us, such as: qualified sign language interpreters and some written information in other formats upon request (large print, accessible electronic formats, other formats). We provide free language services to people whose primary language is not English, such as: qualified interpreters.

If you need these services, you may contact Louanna Cumbie. If you believe that Panhandle Orthopaedics, LLC 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: Louanna Cumbie at 710 Hospital Drive Crestview, FL 32539 or 850-398-8480. You can file a grievance in person or by mail or phone. If you need help filing a grievance, Louanna Cumbie is available to assist 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, 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.


DISCIMINATION ES CONTRA LA LEY
Panhandle Orthopaedics, LLC cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Panhandle Orthopaedics, LLC no excluye a las personas ni las trata de forma diferente debido a su origen etnico, color, nacionalidad, edad, discapacidad o sexo.

Panhandle Orthopaedics, LLC proporciona asistencia y servicios gratuitos a las personas con discapacidades para que se comuniquen de manera eficaz con nosotros, como los siguientes: interpretes de lenguaje de senas capacitados. Informacion escrita en otros formatos (letra grande, formatos electronicos accesibles, otros formatos). Proporciona servicios linguisticos gratuitos a personas cuya lengua materna no es el ingles, como los siguientes: Interpretes capacitados. Informacion escrita en otros idiomas.

Si necesita recibir estos servicios, comuniquese con Louanna Cumbie. Si considera que Panhandle Orthopaedics, LLC no le proporciono estos servicios o lo discrimino de otra manera por motivos de origen etnico, color, nacionalidad, edad, discapacidad o sexo, puede presentar un reclamo a la siguiente persona: Louanna Cumbie at 710 Hospital Drive Crestview, FL 32539 or 850-398-8480. Puede presentar el reclamo en persona o por correo postal, fax o correo electronico. Si necesita ayuda para hacerlo, Louanna Cumbie esta a su disposicion para brindarsela.

Tambien puede presentar un reclamo de derechos civiles ante la Office for Civil Rights (Oficina de Derechos Civiles) del Department of Health and Human Services (Departamento de Salud y Servicios Humanos) de EE. UU. de manera electronica a traves de Office for Civil Rights Complaint Portal, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal a la siguiente direccion o por telefono a los numeros que figuran a continuacion: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD). Puede obtener los formularios de reclamo en el sitio web http://www.hhs.gov/ocr/office/file/index.html.


Language Assistance Services