Notice Informing Individuals About Nondiscrimination
and Accessibility Requirements
Notice Informing Individuals About Nondiscrimination
and Accessibility Requirements
Discrimination is Against the Law
Our practice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Our practice does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Venous Solutions, Inc
Provides at no cost aids and services to people with disabilities to communicate effectively with us, such as:
-
Qualified sign language interpreters
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Written information in other formats (large print, audio, accessible electronic formats, other formats)
Provides at no cost language services to people whose primary language is not English, such as:
-
Qualified interpreters
-
Information written in other languages
If you need these services please tell our front desk or any staff member.
If you believe our practice 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:
Venous Solutions, Inc
2708 Palm Harbor Blvd Suite 708
P: 813-944-0668
F: 813-550-1153
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance our Civil Rights Coordinator 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.
Proficiency of Language Assistance Services
ATTENTION: If you speak any of the languages below, language assistance services, free of charge, are available to you. Call TelNum
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al TelNum
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TelNum
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số TelNum
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. TelNum
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa TelNum
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-xxxx-xxx-xxx) رقم. :والبكم الصم ھ TelNum
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele TelNum
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.
Звоните TelNum
ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement.
Appelez le TelNum
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod
Numer TelNum
ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para TelNum
ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica
gratuiti. Chiamare il numero TelNum
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。TelNum
توجھ: اگر بھ زبان فارسی گفتگو می کنید، تسھیلات زبانی بصورت رایگان برای شما .بگیرید تم TelNum
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur
Verfügung. Rufnummer: TelNum