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Notice Informing Individuals About Nondiscrimination and Accessibility Requirements

Discrimination is against the law

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

Advanced Surgical Hospital 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), and free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages. If you need these services, contact Anne S. Hast, DNP, RN, Chief Executive Officer.

If you believe that Advanced Surgical Hospital 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 Anne S. Hast, DNP, RN, Chief Executive Officer, Advanced Surgical Hospital, 100 Trich Drive, Suite 1, Washington, PA 15301. Telephone number: 724-884-0710. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Anne S. Hast, DNP, RN, Chief Executive Officer, 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.

ACA Section 1557- For Patients with Limited English Proficiency (LEP)

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