Limited English Proficiency Assistance

Pennsylvania Eye & Ear Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.  Pennsylvania Eye & Ear Surgery Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Pennsylvania Eye & Ear Surgery Center:

Will provide 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)

Will provide 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, please contact:  610-685-9204 or asc@granitepoint.biz. Please specify if services are required for the surgery center or a doctor’s appointment.

How to file a grievance

If you believe that Pennsylvania Eye & Ear Surgery 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 the appropriate ACA Grievance Coordinator.

ACA Grievance Coordinator:

ACA Compliance Officer
Pennsylvania Eye & Ear Surgery Center
One Granite Point
Wyomissing, PA 19610
Phone:  610-685-9204
Email:  asc@granitepoint.biz

If you need help filing a grievance, a qualified interpreter can be assigned to help you.  Grievances may be filed in person by appointment or by mail, fax or email.

You may 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

Pennsylvania Eye & Ear Surgery Center Language Assistance Services

Contact: 610-685-9204 or asc@granitepoint.biz

ATTENTION: If you speak American Sign Language, language assistance services, free of charge, are available to you.

Si usted habla español, tiene a su disposición servicios de asistencia con el idioma sin costo alguno. Spanish

모국어가 한국어일 경우 무료 언어지원 서비스가 제공됩니다.Korean

Chúng tôi cung cấp dịch vụ hỗ trợ ngôn ngữ miễn phí cho quý vị, nếu quý vị nói tiếng Việt. Vietnamese

如果您讲汉语普通话,则可以免费向您提供语言协助服务。Chinese

إذا كنت تتحدث العربية، وخدمات المساعدة اللغوية، مجانا، تتوفر لك. Arabic

Kung nagsasalita ka ng Tagalog, may magagamit kang mga serbisyo sa lengguahe na walang bayad.Tagalog

اگر شما فارسی، خدمات کمک زبان، رایگان صحبت می کنند، در دسترس شما هستند. Persian

አማርኛ የሚናገሩ ከሆነ፣ የቋንቋ ዕርዳታ አገልግሎቶችን፣ በነጻ ያገኛሉ።Amharic

آپ اردو زبان کی مدد کی خدمات، مفت کے انچارج بولتے ہیں تو، آپ کو دستیاب ہیں. Urdu

Si votre langue est le français, des services d’assistance linguistiques sont mis gratuitement à votre disposition. French

Если ваш язык — русский, то вам могут быть предоставлены бесплатные услуги переводчика.Russian

अगर आप हिन्दी बोलते हैं तो भाषा सहायता सेवा निःशुल्क उपलब्ध है। Hindi

Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. German

যদি আপনি বাংলা ভাষায় কথা বলেন , তাহলে ভাষা সহায়তা সে বাগুলি , বিন ামূল্যে, আপনার জন্য উপলব্ধ। Bengali

Se você fala português, serviços de assistência linguística, gratuitamente, estão disponíveis para você. Portuguese

Bassa

Ọ bụrụ na ị na-asụ Igbo enyemaka nke asụsụ, a na-enye n’efu, dị maka gị. Igbo

Bí o bá ń sọ Yorùbá, iṣé ìrànwọ́ èdè tí ó jẹ́ ọ̀fẹ́ wà fún ọ. Yoruba

 

Effective: January 2019

 

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