Section 1557 of the Patient Protection
Notice Informing Individuals About Nondiscrimination and Accessibility Requirements:
Discrimination is Against the Law
Florida Heart Associates complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Florida Heart Associates does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Florida Heart Associates:
- 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)
- 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 Michelle Simpson.
If you believe that Florida Heart Associates 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: Michelle Simpson, Civil Rights Coordinator, 1550 Barkley Circle, Fort Myers, FL 33907, 239-938-2000, Fax: 239-278-0404, Email: firstname.lastname@example.org.
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Michelle Simpson, Civil Rights Coordinator, 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.
Non-Discrimination Notice in the following languages:
Español (Spanish) – PDF, 繁體中文 (Chinese) – PDF, Tiếng Việt (Vietnamese) – PDF, 한국어 (Korean) – PDF, Tagalog (Tagalog – Filipino) – PDF, Русский (Russian) – PDF, العربية (Arabic) – PDF, Kreyòl Ayisyen (French Creole) – PDF, Français (French) – PDF, Polski (Polish) – PDF, Português (Portuguese) – PDF, Italiano (Italian) – PDF, Deutsch (German) – PDF, (ગુજરાતી Gujarātī – PDF, Thai – PDF
Language Assistance Services
ATTENTION: If you speak English language assistance services, free of charge, are available to you. Call 1–239-938-2004.
Click Here for Language Assistance Services information in the following languages:
Español (Spanish), 繁體中文 (Chinese), Tiếng Việt (Vietnamese), 한국어 (Korean), Tagalog (Tagalog – Filipino), Русский (Russian), العربية (Arabic), Kreyòl Ayisyen (French Creole), Français (French), Polski (Polish), Português (Portuguese), Italiano (Italian), Deutsch (German), (ગુજરાતી Gujarātī, and Thai.