Non-Discrimination

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

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

Precision Ambulatory Surgery Center:

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 Kari Geyer at 817-764-3269 or kari@allianceeyes.com

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-808-9008 (TTY: 1-888-221-3758).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-808-9008 (TTY: 1-888-221-3758).

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-808-9008 (TTY: 1-888-221-3758).

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1-888-808-9008 (TTY: 1-888-221-3758).

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888 808-9008 (TTY: 1-888-221-3758).번으로 전화해 주십시오.

)رﻗﻢ 888-808-9008-1ﻣﻠﺤﻮظﺔ: إذا ﻛﻨﺖ ﺗﺘﺤﺪث اذﻛﺮ اﻟﻠﻐﺔ، ﻓﺈن ﺧﺪﻣﺎت اﻟﻤﺴﺎﻋﺪة اﻟﻠﻐﻮﯾﺔ ﺗﺘﻮاﻓﺮ ﻟﻚ ﺑﺎﻟﻤﺠﺎن. اﺗﺼﻞ ﺑﺮﻗﻢ .(888-221-3758-1ھﺎﺗﻒ اﻟﺼﻢ واﻟﺒﻜﻢ:

ﺧﺒﺮدار: اﮔﺮ آپ اردو ﺑﻮﻟﺘﮯ ﮨﯿﮟ، ﺗﻮ آپ ﮐﻮ زﺑﺎن ﮐﯽ ﻣﺪد ﮐﯽ ﺧﺪﻣﺎت ﻣﻔﺖ ﻣﯿﮟ دﺳﺘﯿﺎب ﮨﯿﮟ ۔ ﮐﺎل.

1-888-808-9008 (TTY: 1-888-221-3758).ﮐﺮﯾﮟ

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-808-9008 (TTY: 1-888-221-3758).

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-888-808-9008 (ATS: 1-888-221-3758).

ध्यान द: यिद आप िहंदी बोलते ह तो आपके िलए मुत म भाषा सहायता सेवाएं उपलध ह। कॉल कर 1-888-808-9008 (TTY: 1-888-221-3758).

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

1-888-808-9008(TTY: 1-888-221-3758)
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-808-9008 (TTY: 1-888-221-3758).

સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-888-808-9008 (TTY: 1-888-221-3758).

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-808-9008 (TTY: 1-888-221-3758).

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。1-888-808-9008 (TTY: 1-888-221-3758). まで、お電話にてご連絡ください。

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-888-808-9008 (TTY: 1-888-221-3758).

If you believe that Precision Ambulatory Surgery Center 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:

Kari Geyer
Civil Rights Coordinator
9439 North Beach St.
Fort Worth, TX 76244
kari@allianceeyes.com,
817-764-3269 You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Kari Geyer, Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with 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, 1-800-537-7697 (TDD)
Complaint forms are available at https://www.hhs.gov/ocr/complaints/index.html
Precision Ambulatory Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Precision Ambulatory Surgery Center cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.