Andrews Notice of Nondiscrimination and Accessibility

DISCRIMINATION IS AGAINST THE LAW

Andrews Sports Medicine and Orthopaedic Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Andrews Sports Medicine and Orthopaedic Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Andrews Sports Medicine and Orthopaedic Center 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)

Andrews Sports Medicine and Orthopaedic Center 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 Andrews Sports Medicine and Orthopaedic Center’ Compliance Officer/Administrator.

If you believe that Andrews Sports Medicine and Orthopaedic 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:

• Andrews Sports Medicine and Orthopaedic Center Compliance Officer: Administrator • Mailing Address: 805 St Vincent’s Drive, Ste 100 Birmingham, AL 35205
• Telephone Number: 205-939-3699
• Fax Number: 205-939-0989

• Email: lisa.warren@andrewssm.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance,

Andrews Sports Medicine and Orthopaedic Center’s Compliance Officer 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/... , 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/....

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-205-939-3699.

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-205-939-3699.

خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت 3699-939-205-1 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 1-205- .939-3699

ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-205-939-3699.

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-205-939-3699.

.ناجملاب كل رفاوتت ةیوغللا ةدعاسملا تامدخ نإف ،ةغللا ركذا ثدحتت تنك اذإ :ةظوحلم 1-205-939-3699:مكبلاو مصلا فتاھب لصتا

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-205-939-3699.

ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-205-939-3699.

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-205-939-3699.

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-205-939-3699.

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-205-939-3699.

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。 1-205-939-3699.まで、お電話にてご連絡ください。
यान द:� य�द आप िहंदी बोलते ह� तो आपके िलए म ु त म� भाषा सहायता सेवाएं उपल ध ह।� 205-939-3699

સચુ ના: જો તમે ગજુ રાતી બોલતા હો, તો િન:શ ુ ક ભાષા સહાય સવે ાઓ તમારા માટે ઉપલ ધ છે. ફોન કરો 205-939-3699