Language Assistance & Non-Discrimination

Discrimination is Against the Law

Allied Physicians Surgery Center, LLC complies with applicable Federal civil rights laws and does not discriminate based on race, color, national origin, age, disability, or sex.

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

Allied Physicians Surgery Center, LLC:

• Provides free aids and services to people with disabilities to communicate effectively with us.
• Provides free language services to people whose primary language is not English.

If you need these services, contact Thomasine A. Harrison, Civil Rights Coordinator.

If you believe that Allied Physicians Surgery Center, LLC has failed to provide these services or discriminated in another way based on race, color, national origin, age, disability, or sex, you can file a grievance in person or by mail, fax, or email.

Thomasine A. Harrison, Civil Rights Coordinator
53990 Carmichael Drive, Suite 100
South Bend, IN 46635
(574) 243-9700
THarrison@apsurgery.com

If you need help filing a grievance, Thomasine A. Harrison, Civil Rights Coordinator 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

Alternatively, by mail or phone:

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)

Language Assistance

ATTENTION: We offer language assistance services, free of charge, to patients with limited English proficiency.

Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.

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。

German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.

Pennsylvanian Dutch: Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch.

Burmese: သတိျပဳရန္ - အကယ္၍ သင္သည္ ျမန္မာစကား ကို ေျပာပါက၊ ဘာသာစကား အကူအညီ၊ အခမဲ့၊ သင့္အတြက္ စီစဥ္ေဆာင္ရြက္ေပးပါမည္။

Arabic: نقدم خدمات المساعدة اللغوية مجانًا للمرضى ذوي الكفاءة المحدودة في اللغة الإنجليزية.

Korean: 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.

Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

French: ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement.

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。

Dutch: AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten

Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.

Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.

Panjabi: ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸ􀂀 ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤ􀁿 ਭਾਸ਼ਾ ਿਵੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ।

Hindi: ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं।

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