Have questions?

Phone: 239-596-2557

Patient Rights

Anti Discrimination Policy
Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement:
Discrimination is Against the Law

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

Physicians Day Surgery Center provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and free language services to people whose primary language is not English, such as qualified interpreters. If you need these services, contact Robin Wright.

If you believe that Physicians Day 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 Robin Wright.

Robin Wright
850 111th Avenue North, Naples, FL 34108
Telephone number 239-596-2557, Ext. 104
Fax number 239-596-2563
Email: Robin.Wright@scasurgery.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Robin Wright 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

LIMITED ENGLISH PROFICIENCY INFORMATION:

Interpreter Hotline Number: 239-204-2654
TTY: 711

Spanish – Español:
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.

Vietnamese – TIẾNG VIỆT:
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

Chinese – 中文:
注意:如果您使用繁體中文,您可以免費獲得語言援助服務

Tagalog:
Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.

Arabic – Alearabia -العربية
مقرب لصتا .ناجملاب كل رفاوتت ةیوغللا ةدعاسملا تامدخ نإف ،ةغللا ركذا ثدحتت تنك اذإ :ةظوحلم

French Creole
Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.

Korean:한국어
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.

French: français
Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.

Portuguese: português
Se fala português, encontram-se disponíveis serviços linguísticos, grátis.

Italian: italiano
In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti.

German: Deutsche
Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.

Thai: ไทย
เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี

Russian:
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.

Polish: Polskie
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.

Gujarati:
સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો

Patients Rights and Responsibilities Information :

Patients Rights and Responsibilities PDF