Non-Discrimination Policy

Section 1557 of the Patient Protection and Affordable Care Act

Larson Eye Care, S.C. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.  Larson Eye Care, S.C. does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

 

Larson Eye Care, S.C. provides free services to people with disabilities to communicate effectively with us such as qualified sign language interpreters, written information in other formats and provides free language services to people whose primary language is not English.

 

If you require these services, please let our office know and we will arrange for an interpreter.

 

If you believe that Larson Eye Care, S.C. 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 our Practice Administrator.  You can file a grievance in person or by mail or fax.  If you need help filing a grievance our Practice Administrator 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/portal/lobby.jsf or by mail or phone at:

 

US 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

 

Larson Eye Care, S.C. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color national origin, disability or sex.

 

We offer at no charge to you the assistance of language interpretation.

 

Español (Spanish)

ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 920-452-5400.

 

Hmoob (Hmong)

LUS CEEV:  Yog tias koj hais lusHmoob, cov kev pab txog lus, muaj kev pab dawb raukoj.    Hu rau 920-452-5400.

 

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 920-452-5400.

 

Deutsch (German)

ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: 920-452-5400.

 

العربية (Arabic)

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل بر5400-452-920 (رقم هاتف الصم والبكم:

 

Русский (Russian)

ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 920-452-5400.

 

한국어 (Korean)

주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  920-452-5400. 번으로 전화해 주십시오.

 

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 920-452-5400

 

 

 

 

 

Deitsch (Pennsylvania Dutch)

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 920-452-5400

ພາສາລາວ (Lao)

ໂປດ​ຊາບ: ຖ້າ​ວ່າ ທ່ານ​ເວົ້າ​ພາ​ສາ ລາວ, ການ​ບໍ​ລິ​ການ​ຊ່ວຍ​ເຫຼືອ​ດ້ານ​ພາ​ສາ, ໂດຍບໍ່​ເສັຽ​ຄ່າ, ແມ່ນມີ​ພ້ອມໃຫ້​ທ່ານ. ໂທ​ຣ 920-

452-5400

 

Français (French)

ATTENTION :  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le 920-452.5400

 

Polski (Polish)

UWAGA:  Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.  Zadzwoń pod numer 920-452.5400

 

हिंदी (Hindi)

ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 920-452-5400 पर कॉल करें।

 

Shqip (Albanian)

KUJDES:  Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë.  Telefononi në 920-452-5400

 

Tagalog (Tagalog – Filipino)

PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa 920-452-5400

The material contained on this site is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider.