Notice of Nondiscrimination
Discrimination is Against the Law
Surgical Specialty Center of Northeastern Pennsylvania complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Surgical Specialty Center of Northeastern Pennsylvania does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Surgical Specialty Center of Northeastern Pennsylvania:
- 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)
- 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 Barbara Halesey.
If you believe that Surgical Specialty Center of Northeastern Pennsylvania 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:
Barbara Halesey
190 Welles Street
Forty Fort, PA 18704
(TTY: (570) 718-6745)
Fax: 570-714-0419
BHalesey@amsurg.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, 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/smartscreen/main.jsf or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue SW., Room 509F,
HHH Building, Washington, DC 20201
1-800-868-1019, 800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Source: HHS Office for Civil Rights
LANGUAGE ASSISTANCE SERVICES are available to you at free of charge. To obtain services, call Forty Fort, PA 18704.
Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al Forty Fort, PA 18704 (TTY: (570) 718-6745) .
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。請致電 Forty Fort, PA 18704 (TTY: (570) 718-6745) .
Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số Forty Fort, PA 18704 (TTY: (570) 718-6745 .
French Creole: ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele Forty Fort, PA 18704 (TTY: (570) 718-6745.
French: ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le Forty Fort, PA 18704 (ATS : (570) 718-6745).
Korean: 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. Forty Fort, PA 18704 (TTY: (570) 718-6745) 번으로 전화해 주십시오.
German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: Forty Fort, PA 18704
Italian: ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero Forty Fort, PA 18704 (TTY: (570) 718-6745).
Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните Forty Fort, PA 18704 (телетайп: (570) 718-6745).
Tagalog-Filipino: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa Forty Fort, PA 18704 (TTY: (570) 718-6745).
Polish: UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer Forty Fort, PA 18704 (TTY: (570) 718-6745) .
Portuguese: ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para Forty Fort, PA 18704 (TTY: (570) 718-6745) .
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。Forty Fort, PA 18704 (TTY: (570) 718-6745) まで、お電話にてご連絡ください。
Hindi: ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। Forty Fort, PA 18704 (TTY: (570) 718-6745 पर कॉल करें।
Punjabi: ਧਿਆਨ ਦਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਵਿੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। Forty Fort, PA 18704 (TTY: (570) 718-6745 ‘ਤੇ ਕਾਲ ਕਰੋ।