Notice Informing Individuals About Nondiscrimination

And Accessibility Requirements

 

 

Midwest Dermatology Clinic complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.  Midwest Dermatology Clinic does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

 

          Midwest Dermatology Clinic:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information other formats (large print, audio, accessible electronic formats, other formats)
    • Information written in other languages
  • If you need these services, contact Theresa Rothermund

 

If you believe that Midwest Dermatology Clinic 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:  Theresa Rothermund, 4242 Farnam Street #360, Omaha, NE  68131, 402-552-2555, Fax 402-552-2573, theresa.rothermund @midwestderm.com.  You can file a grievance in person or by mail, fax, or email.  If you need help filing a grievance, Theresa Rothermund 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 of 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.hov/ocr/office/file/indes.html

Limited English Proficiency of Language Assistance Services

 

ATTENTION:  If you speak English, language assistance services, free of charge are available to you at:  1-844-212-7629.

 

ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-844-212-7629

CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-844-212-7629

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-844-212-7629

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-844-212-7629

ymol.ymo;= erh>uwdRAunD AusdmtCd<AerRM>Ausdmtw>rRpXRvXAwvXmbl.vXmphRAeDwrHRb.ohM. vDRIAud; 1-844-212-7629

 

ATTENTION :  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le 1-844-212-7629

ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: 1-844-212-7629

주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  1-844-212-7629 번으로 전화해 주십시오.

ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ । फोन गर्नुहोस् 1-844-212-7629

ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-844-212-7629.

ໂປດ​ຊາບ: ຖ້າ​ວ່າ ທ່ານ​ເວົ້າ​ພາ​ສາ ລາວ, ການ​ບໍ​ລິ​ການ​ຊ່ວຍ​ເຫຼືອ​ດ້ານ​ພາ​ສາ, ໂດຍບໍ່​ເສັຽ​ຄ່າ, ແມ່ນມີ​ພ້ອມໃຫ້​ທ່ານ. ໂທ​ຣ 1-844-212-7629

 

ئاگاداری:  ئەگەر بە زمانی کوردی قەسە دەکەیت، خزمەتگوزاریەکانی یارمەتی زمان، بەخۆڕایی، بۆ تۆ بەردەستە.  پەیوەندی بە 1844-212-7629بکە.

 

注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-844-212-7629まで、お電話にてご連絡ください。

 

XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama.  Bilbilaa 1-844-212-7629

توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با 1-844-212-7629 تماس بگیرید.