Discrimination is Against the Law

NOVA Surgicare, PC

complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color,
national origin, age, disability, or sex.

NOVA Surgicare, PC

does not exclude people or treat them differently because of race, color, national origin, age, disability, or
sex.

NOVA Surgicare, PC:

• 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)
  • Free language services to people whose primary language is not English, such as: Qualified interpreters and Information written in other languages

If you need these services, contact Diana Pong.

If you believe that NOVA Surgicare, PC
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
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.