Notice of Nondiscrimination
Compliance with Non-Discrimination Laws and Regulations in Section 1557 of the Affordable Care Act
Oregon Retina Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Oregon Retina Specialists does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Oregon Retina Center:
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 Kelsey Boucher, (541) 770-2020.
If you believe that Oregon Retina Center 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:
Kelsey Boucher
1518 E Barnett Rd Medford, OR 97504-8495,
Telephone Number: (541) 770-2020,
TTY: 800-735-1232,
Email: info@oregonretina.com.
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Kelsey Boucher 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.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-808-9008 (TTY: 1-800-735-1232).
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ATENÈšIE: Dacă vorbiÈ›i limba română, vă stau la dispoziÈ›ie servicii de asistență lingvistică, gratuit. SunaÈ›i la 1-888-808-9008 (TTY: 1-800-735-1232 ).
ប្រយáŸážáŸ’ន៖ បើសិនជាអ្នកនិយាយ ភាសាážáŸ’មែរ, សáŸážœáž¶áž‡áŸ†áž“ួយផ្នែកភាសា ដោយមិនគិážážˆáŸ’នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរសáŸáž–្ទ 1-888-808-9008 (TTY: 1-800-735-1232)។
XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-888-808-9008 (TTY: 1-800-735-1232).
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-808-9008 (TTY: 1-800-735-1232).
s توجھ: اگر بھ زبان ÙØ§Ø±Ø³ÛŒ Ú¯ÙØªÚ¯Ùˆ Ù…ÛŒ کنید، تسھیلات زبانی بصورت رایگان برای شما .بگیرید تماس 1-888-808-9008 (TTY: 1-800-735-1232) با. باشد Ù…ÛŒ Ù
ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-808-9008 (ATS : 1-800-735-1232).
เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริà¸à¸²à¸£à¸Šà¹ˆà¸§à¸¢à¹€à¸«à¸¥à¸·à¸à¸—างภาษาได้ฟรี โทร 1-888-808-9008 (TTY: 1-800-735-1232).