Tallahassee Orthopedic Clinic III, P.L, d/b/a Florida Orthopaedic Institute (“THE PRACTICE”) complies with applicable Federal civil rights laws, including Title VI, Section 504, Title IX, and the Age Act and Section 1557 of the Affordable Care Act, and does not discriminate on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (consistent with the scope of sex discrimination described at 45 C.F.R. 92.101(a)(2), and Florida case law). Our practice does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.
Appropriate Auxiliary Aids and Services: The Practice provides at no cost reasonable modifications, appropriate auxiliary aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters, and written information in other, alternative formats (i.e., braille, large print, audio, accessible electronic formats, other formats) in a timely manner, when such modifications or aids and services are necessary to ensure accessibility and equal opportunity to participate to individuals with disabilities.
Reasonable Modifications. The Practice will provide reasonable modifications for qualified individuals with disabilities when necessary, to ensure accessibility and equal opportunity to participate in our programs, activities, services, or benefits and so long as those modifications do not fundamentally alter the nature of our health services. To learn more about your rights, please refer to The Practice’s Patient Rights and Responsibilities and this notice.
Language Assistance Services: The Practice also provides language assistance services at no cost to people whose primary language is not English, including qualified interpreters and information in electronic or written in different languages or oral translation. If you need these services, please contact jcorbin@ortho-solutions.com (Civil Right Coordinator) and let them know of your needs, and such services will be provided in a timely manner.
Grievances: If you believe The Practice has failed to provide these services or discriminated against you in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with our Civil Rights Coordinator:
Name: Jennifer Corbin
Phone: 813‑939‑8071
Email: jcorbin@ortho-solutions.com
Mailing Address:
5315 Avion Park Drive, Suite 100
Tampa, FL 33607
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 assist you. For more information on our non-discrimination policy, please visit our website at www.floridaortho.com
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office of Civil Rights, electronically through the Office of Civil Rights Complaint Portal, available at: https://ocrportal.hhs.gov/ocr/smartscreen/main.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, 1-800-537-7697 (Toll Free).
Complaint forms are available at: https://www.hhs.gov/civil-rights/filing-a-complaint/complaint-process/index.html or at https://www.hhs.gov/ocr/complaints/index.html.
This notice is available at The Practice’s website at www.floridaortho.com
ATTENTION: If you speak another language, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call 813-590-4452 or speak to your provider.
Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 813‑939‑8071o hable con su proveedor.
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French: ATTENTION : Si vous parlez français, des services d’assistance linguistique gratuits sont à votre disposition. Des aides et des services auxiliaires appropriés pour fournir de l’information dans des formats accessibles sont également disponibles gratuitement. Appelez le 813‑939‑8071 ou parlez à votre fournisseur.
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Thai: โปรดทราบ: หากคุณพูดภาษาไทย คุณสามารถใช้บริการช่วยเหลือด้านภาษาได้ฟรี นอกจากนี้ยังมีอุปกรณ์และบริการเสริมที่เหมาะสมเพื่อให้ข้อมูลในรูปแบบที่เข้าถึงได้โดยไม่เสียค่าใช้จ่าย โทร 813‑939‑8071หรือพูดคุยกับผู้ให้บริการของคุณ.