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Phone: 239-596-2557

Patient Rights

Notice of Nondiscrimination

SCA Health complies with applicable civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity). Wedonotexclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.

We provide free aids and services to help you communicate with us. You can ask for interpreters and/or forcommunications in other languages or formats such as large print. We also provide reasonable modificationsforpersons with disabilities. I

f you need these services, call the toll-free number 1-205-545-2572. (TTY 711).

If you believe that we failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can send a complaint to the Civil Rights Coordinator:

SCA Health Civil Rights Coordinator
569 Brookwood Village, Suite 901
Birmingham, AL 35209
Attn: Regulatory Compliance
regcomp@scasurgery.com

If you need help filing a complaint, call the toll-free number 1-205-545-2572. (TTY 711). You can also file a civil rights complaint with the U.S. Department of Health and Human Services, OfficeforCivil Rights:

Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Phone: 1-800-368-1019, 800-537-7697 (TDD)
Mail: U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

This notice is available at: https://sca.health/patient-rights/notice-of-nondiscrimination/

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