704-831-4400 • 1822 Brunswick Ave. • Charlotte, NC 28207

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

 

Carolina Center For Specialty Surgery

 

o Provides free aids and services to people with disabilities to communicate effectively with us, such as:

o Qualified sign language interpreters

o 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:

o Qualified interpreters

o Information written in other languages

 

If you need these services, contact the PACU Manager at 704-831-4420

 

If you believe that Carolina Center For Specialty Surgery has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, or sex, you can file a grievance with Brenda Page, Surgery Center Director, 1822 Brunswick Ave, Charlotte, NC 28207, 704-831-4410, fax 704-831-4411, brenda.page@cnsa.com.

 

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Brenda Page, Director of Human Resources 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.

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