NOTICE INFORMING INDIVIDUALS ABOUT NONDISCRIMINATION AND ACCESSIBILITY REQUIREMENTS
Skin Cancer Specialists, P.C. & Aesthetic Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Skin Cancer Specialists, P.C. & Aesthetic Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Skin Cancer Specialists, P.C. & Aesthetic 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)
- 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 Marcy Gilmore.
If you believe that Skin Cancer Specialists, P.C. & Aesthetic 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: Marcy Gilmore, Administrative Assistant 835 Cogburn Ave. N.W. Suite 100, Marietta, GA 30060, Telephone number: 770-422-5557, Fax: 770-422-5456, Email:
ma***********@sk*******************.com
. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Marcy Gilmore 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 https://www.hhs.gov/ocr/office/file/index.html.
ATTACHMENT A – TAGLINES
- Español – Spanish ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-770-422-5557
- Tiếng Việt – Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-770-422-5557
- 한국어– Korean 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-770-422-5557 번으로 전화해 주십시오.
- 繁體中文 – 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1-770-422-5557。
- Français – French ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-770-422-5557.
- ગુજરાતી– Gujarati સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-770-422-5557.
- አማርኛ– Amharic ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-770-422-5557.
- Русский – Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-770-422-5557.
- Kreyòl Ayisyen – French Creole (Haitian Creole) ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-770-422-5557.
- हिंदी– Hindi ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-770-422-5557 पर कॉल करें।
- العربية– Arabicملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-770-422-5557 (رقم
- Português – Portuguese ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-770-422-5557.
- فارسی– Persian (Farsi)توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با 1-770-422-5557 تماس بگیرید.
- 日本語– 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。1-770-422-5557まで、お電話にてご連絡ください。
- Srpsko-hrvatski – Serbo-Croatian OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-770-422-5557
