Non-Discrimination Statement
Non-Discrimination Statement
Conner-Smith Eye Center
707 West Tipton Street
Seymour, Indiana 47274
812-524-3937
Privacy Officer: Anjanette Trimpe
Conner-Smith Eye Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Conner-Smith Eye Center does not exclude people or treat them different because of race, color, national origin, age, disability, or sex.
Conner-Smith Eye Center:
Provides free aids and services to people with disabilities to communicate effectively with us, such as: using electronic devices to type communications and translate
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 Anjanette Trimpe
If you believe that Conner-Smith Eye Center 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 : Anjanette Trimpe, tech, 707 W Tipton St, Seymour IN 47274, Telephone 812-524-3937, Fax 812-524-8647, csectech@yahoo.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Anjanette Trimpe, tech 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.gove/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 1-800-868-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Declaracion de No-Discriminacion
Conner-Smith Eye Center
707 West Tipton Street
Seymour, Indiana 47274
812-524-3937
Oficial de Privacidad: Anjanette Trimpe
Conner-Smith Eye Center cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad or sexo. Conner-Smith Eye Center no excluye a las personas ni las trata de forma diferente debido a su origen etnico, color, nacionalidad, edad, discapacidad o sexo.
Conner-Smith Eye Center:
Proporciona asistencia y servicios gratuitos a las personas con discapacidades para que se comuniquen de manera eficaz con nosotros, como los siguientes: Interpretes de lenguaje de senas capacitados.
Informacion escrita en otros formatos (letra grande, audio, formatos electronicos accesibles, otros formatos).
Proporciona servicios linguisticos gratuitos a personas cuya lengua materna no es el ingles, como los siguientes: Interpretes capacitados.
Informacion escrita en otros idiomas.
Si necesita recibir estos servicios, comuniquese con Anjanette Trimpe.
Si considera que Conner-Smith Eye Center no le proporciono estos servicios o lo discrimino de otra manera por motivos de origen etnico, color, nacionalidad, edad, discapacidad o sexo, puede presentar un reclamo a la siguiente persona: Anjanette Trimpe, tech, 707 W Tipton St Seymour IN 47274, 812-524-3937, fax 812-524-8647, csectech@yahoo.com. Puede presentar el reclamo en persona o por correo postal, fax o correo electronico. Si necesita ayuda para hacerlo, Anjanette Trimpe esta a su disposicion para brindarsela.
Tambien puede presentar un reclamo de derechos civiles ante la Office for Civil Rights (Oficina de Derechos Civiles) del Department of Health and Human Services (Departamento de Salud y Servicios Humanos) de EE. UU. de manera electronica a traves de Office for Civil Rights Complaint Portal, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal a la siguiente U.S. Department of Health and Human Services 200 Independence Ave, SW Room 509F, HHH Building Washington D.C. 20201 1-800-868-1019, 800-537-7697 (TDD)
Puede obtener los formularios de reclamo en el sitio web http://www.hhs.gov/ocr/office/file/index.html