Nondiscrimination Notice

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Spine Sports Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression.  Spine Sports Surgery Center does not exclude people or treat them differently because of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression.  Our health plans are also subject to the section 1557 nondiscrimination requirements and will be operated accordingly.

Spine Sports Surgery Center:

            Provides free auxiliary aids and services to people with disabilities to communicate effectively with   

                       us, such as :

• qualified       sign language interpreters, video remote interpreting or other aids for       hearing impaired individuals
• written       information in multiple formats including large print, audio, accessible       electronic formats, or other formats for visually impaired individuals

               Provides      free language services to people whose primary language is not English,      such as:

• qualified       interpreters or a language line
• information       written in other languages

If you need these services, contact Spine Sports Surgery Center’s ADA Coordinator at (408) 378-6773.

If you believe that Spine Sports Surgery 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:

ADA Coordinator
Spine & Sports Surgery Center
429 Llewellyn Avenue, Campbell, 

California 95008
Phone: (408) 378-6773. Fax: ()
lourdes@spinesportssc.com.com

You can file a grievance in person or by mail, fax or email.  If you need help filing a grievance, Spine & Sports Surgery Center’s ADA 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, 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