NOTICE OF NONDISCRIMINATION

The Orthopedic Specialty Clinic (TOSC) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. TOSC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

The Orthopedic Specialty Clinic:

• 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 (see below).

If you need these services, contact Laura Bowles Compliance Officer.

If you believe that TOSC 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: Laura Bowles. You can file a grievance in person or by mail, phone or email. If you need help filing a grievance, Laura Bowles 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

LANGUAGE ASSISTANCE SERVICES

ATTENTION: If you speak Spanish, Chinese, Vietnamese, Korean, Navajo, Nepali, Tongan, Serbo-Croatian, Tagalog, German, Russian, Arabic, Mon-Khmer Cambodian, French, or Japanese, language assistance services are available to you, free of charge.

Call (801) 314-4188