NOTICE OF NON-DISCRIMINATION
Notice of Non-Discrimination and Accessibility Requirements
Discrimination is Against the Law
Pinehurst Surgical Clinic, PA complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Pinehurst Surgical Clinic, PA does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Pinehurst Surgical Clinic, PA:
- Provides free aid 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 Leslie Laws, Chief Operating Officer
If you believe that Pinehurst Surgical Clinic, PA 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:
Leslie Laws, Chief Operating Officer
P.O. Box 2000, Pinehurst, NC. 28374
Phone-910-295-0207, Fax-910-215-3097
llaws@pinehurstsurgical.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Leslie Laws, Chief Operational 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, SW, Room 509F, HHH Building Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Language Assistance Services
Spanish- ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia
lingüística. Llame al 1-910-235-6831
Chinese- 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-910-235-6831 번으로 전화해 주십시오.
Vietnamese- CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-910-235-6831.
Korean- 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-910-235-6831 번으로 전화해 주십시오.
French-Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-910-235-6831.
Arabic –910-235-6831– ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم
Hmong- LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-910-235-6831.
Russian- ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-910-235-6831.
Tagalog- PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-910-235-6831.
Gujarati- ચુના: જો તમે જરાતી બોલતા હો, તો િન:લ્કુ ભાષા સહાય સેવાઓ તમારા માટ ઉપલબ્ધ છ. ફોન કરો 1-910-235-6831.
Cambodian-្របយ័ត៖ េបើសិនអកនិយ ែខរ, េសជំនួយែផក េយមិនគិតឈល គឺចនសំប់បំេរអក។ ចូរ ទូរស័ព 1-910-235-6831។
German-ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche
Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-910-235-6831.
Hindi- ध्यान द: यद आप हदी बोलते ह तो आपके िलए मुफ्त म भाषा सहायता सेवाएं उपलब्ध ह। 1-910-235-6831पर कॉल कर।
Laotian- ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-910-235-6831.
Japanese- 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-910-235-6831