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Nondiscrimination and Accessibility

Notice Informing Individuals about Nondiscrimination and Accessibility Requirements

 

Under the final rule, “Nondiscrimination in Health Programs and Activities”, contained in Section 1557 of the Affordable Care Act, issued by the U.S. Department of Health and Human Services, LOS Surgery Center makes provisions to ensure individuals are able to receive services and benefits under any of its programs and activities free from discrimination. Individuals are protected from discrimination under local, state or federal law. LOS Surgery Center does not exclude, deny benefits to, or otherwise discriminate against any person on the basis of race, color, national origin, age, disability and sex, including discrimination based on pregnancy, gender identity and sex stereotyping.

We provide free aid 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)

We also offer free language services to people whose primary language is not English, such as:

  • Qualified interpreters
  • Information written in other languages

If you need any of these services, please contact the Compliance Officer listed below.

If you believe that LOS Surgery Center has failed to provide these services or has discriminated on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with

LOS Surgery Center
ATTN: Compliance Officer
300 E. Bluebird Drive
Lafayette, LA 70508

[Office] 337-889-3001 [Fax] 337-889-3002

Grievances can be submitted in person, by mail, fax, or email. If you need assistance or to file a grievance, the Administrator or another manager 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:

  • Online: OCR Complaint Portal
  • By Mail:
    U.S. Department of Health and Human Services
    200 Independence Avenue, SW
    Room 509F, HHH Building
    Washington, D.C. 20201
  • By Phone: (800) 368-1019 | (800) 537-7697 (TDD)

Complaint forms are available online at http://www.hhs.gov/ocr/office/file/index.html

 

Notice of Language Assistance Services

NOTICE: Language assistance and accessible formats are available at no cost if you speak English. Call (337) 889-3001 or ask your provider for help.

Spanish (Español)

AVISO: Los servicios de asistencia lingüística y formatos accesibles están disponibles sin costo si habla inglés. Llame al (337) 889-3001 o pregunte a su proveedor.

French (Français)

AVIS : Des services d’assistance linguistique et des formats accessibles sont disponibles gratuitement si vous parlez anglais. Appelez le (337) 889-3001 ou demandez à votre fournisseur.

Vietnamese (Việt)

THÔNG BÁO: Dịch vụ hỗ trợ ngôn ngữ và định dạng dễ tiếp cận có sẵn miễn phí nếu bạn nói tiếng Anh. Gọi (337) 889-3001 hoặc hỏi nhà cung cấp của bạn để được giúp đỡ.

Chinese (Simplified – 中文)

通知:如果您说英语,可免费提供语言协助和无障碍格式服务。请拨打 (337) 889-3001 或向您的提供者寻求帮助。

Arabic (العربية)

.إشعار: خدمات المساعدة اللغوية والتنسيقات الميسرة متوفرة مجانًا إذا كنت تتحدث الإنجليزية. اتصل بالرقم (337) 889-3001 أو اطلب المساعدة من مقدم الخدمة

Tagalog (Filipino)

PAUNAWA: Ang tulong sa wika at naa-access na mga format ay available nang libre kung nagsasalita ka ng Ingles. Tumawag sa (337) 889-3001 o magtanong sa iyong tagapagbigay para sa tulong.

Korean (한국어)

공지: 영어를 사용하시면 무료로 언어 지원 및 접근 가능한 형식을 제공합니다. (337) 889-3001로 전화하거나 제공자에게 도움을 요청하세요.

Portuguese (Português)

AVISO: Serviços de assistência linguística e formatos acessíveis estão disponíveis gratuitamente se você fala inglês. Ligue para (337) 889-3001 ou peça ajuda ao seu provedor.

Laotian (ລາວ)

ແຈ້ງການ: ບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ ແລະຮູບແບບຂໍ້ມູນທີ່ເຂົ້າເຖິງໄດ້ ມີໃຫ້ຟຣີ. ໂທ (337) 889-3001 ຫຼືຂໍຄວາມຊ່ວຍເຫຼືອຈາກຜູ້ສະໜອງຂອງທ່ານ.

Japanese (日本語)

お知らせ: 英語を話す方は、無料で言語サポートとアクセシブル形式が利用できます。(337) 889-3001 に電話するか、提供者に助けを求めてください。

Urdu (اردو)

نوٹس: اگر آپ انگریزی بولتے ہیں تو مفت زبان مدد اور قابل رسائی فارمیٹس دستیاب ہیں۔ (337) 889-3001 پر کال کریں یا اپنے فراہم کنندہ سے مدد طلب کریں۔

German (Deutsch)

HINWEIS: Sprachunterstützungsdienste und barrierefreie Formate sind kostenlos verfügbar, wenn Sie Englisch sprechen. Rufen Sie (337) 889-3001 an oder fragen Sie Ihren Anbieter um Hilfe.

Persian (Farsi – فارسی)

.اعلان: خدمات دسترسی به زبان و قالب‌های قابل دسترس به صورت رایگان در دسترس هستند. با شماره (337) 889-3001 تماس بگیرید یا از ارائه‌دهنده خود کمک بخواهید

Russian (Русский)

УВЕДОМЛЕНИЕ: Бесплатные услуги перевода и доступные форматы предоставляются. Позвоните по номеру (337) 889-3001 или обратитесь к своему поставщику.

Thai (ไทย)

ประกาศ: บริการช่วยเหลือด้านภาษาและรูปแบบการเข้าถึงข้อมูลมีให้ฟรี โทร (337) 889-3001 หรือขอความช่วยเหลือจากผู้ให้บริการของคุณ