Notice of Nondiscrimination
Northwest ENT & Allergy Care PC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Northwest ENT & Allergy Care PC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Northwest ENT & Allergy Care PC:
- 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 Cheryl Kruse
If you believe that Northwest ENT & Allergy Care PC 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: Cheryl Kruse, 10330 SE 32nd Ave, Suite 320, Milwaukie, OR 97222, Fax: 503-622-8553, Email: [email protected] You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Cheryl Kruse 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.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-716-1777 (TTY: 1-800-716-1777).
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ATENÈšIE: Dacă vorbiÈ›i limba română, vă stau la dispoziÈ›ie servicii de asistență lingvistică, gratuit. SunaÈ›i la 1-800-716-1777 (TTY: 1-800-716-1777).
ប្រយáŸážáŸ’ន៖ បើសិនជាអ្នកនិយាយ ភាសាážáŸ’មែរ, សáŸážœáž¶áž‡áŸ†áž“ួយផ្នែកភាសា ដោយមិនគិážážˆáŸ’នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរសáŸáž–្ទ 1-800-716-1777 (TTY: 1-800-716-1777)។
XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-716-1777 (TTY: 1-800-716-1777).
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-716-1777 (TTY: 1-800-716-1777).
s توجھ: اگر بھ زبان ÙØ§Ø±Ø³ÛŒ Ú¯ÙØªÚ¯Ùˆ Ù…ÛŒ کنید، تسھیلات زبانی بصورت رایگان برای شما .بگیرید تماس 1-800-716-1777 (TTY: 1-800-716-1777) با. باشد Ù…ÛŒ Ù
ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-716-1777 (ATS : 1-800-716-1777).
เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริà¸à¸²à¸£à¸Šà¹ˆà¸§à¸¢à¹€à¸«à¸¥à¸·à¸à¸—างภาษาได้ฟรี โทร 1-800-716-1777 (TTY: 1-800-716-1777).