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Non-Discrimination

Nondiscrimination Statement:

Discrimination is Against the Law

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

 East West Laser and Ambulatory Surgery Center, LLC:

  If you need these services, contact Brenda Hoskins, RN.

If you believe that East West Laser and Ambulatory Surgery Center, 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:

Brenda Hoskins, RN, Nurse Administrator
East West Laser and Ambulatory Surgery Center, LLC
1855 East West Parkway, Ste 1
Fleming Island, FL 32003
(904)607-0606

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Brenda Hoskins, RN, Nurse Administrator 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.

Spanish:  ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al (800) 752-6096.

French Creole: ATANSYON:  Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.  Rele (800) 752-6096.

Vietnamese:  CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số (800) 752-6096.

Portuguese:  ATENÇÃO:  Se fala português, encontram-se disponíveis serviços linguísticos, grátis.  Ligue para (800) 752-6096.

Chinese:  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 (800) 752-6096。

French:  ATTENTION :  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le (800) 752-6096.

Tagalog:  PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa (800) 752-6096.

Russian:  ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните (800) 752-6096.

Arabic:

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم (800) 752-6096 (رقم هاتف الصم والبكم: .

Italian:  ATTENZIONE:  In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti.  Chiamare il numero (800) 752-6096 .

German:  ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: (800) 752-6096 .

Korean:  주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  (800) 752-6096 번으로 전화해 주십시오.

Polish:  UWAGA:  Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.  Zadzwoń pod numer (800) 752-6096.

Gujarati:  સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો  (800) 752-6096 .
Thai:  เรียน:  ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี  โทร (800) 752-6096.

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