Affordable Care Act – Nondiscrimination

DISCRIMINATION IS AGAINST THE LAW

Florida Orthopaedic Institute 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. Florida Orthopaedic Institute Surgery Center, LLC. does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Florida Orthopaedic Institute Surgery Center, 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 (813) 972-4905. If you believe that Florida Orthopaedic Institute 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 the HIPAA/Compliance Officer at 13060 North Telecom Parkway, Tampa, FL 33637 or (813) 972-4905. You can file a grievance in person or by mail or phone. If you need help filing a grievance, our HIPAA/Compliance Officer 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.

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