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Non-Discrimination Notice
The Javery Pain Institute complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. The Javery Pain Institute does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
The Javery Pain Institute:
- Provides free aids and service 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 or 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 the Javery Pain institute at 616-588-7246, fax 616-588-7086.
If you are a patient or a member of the public and you believe that The Javery Pain Institute has failed to provide these services or discriminated in any way on the basis of race, color, national origin, age, disability or sexual identity or sex, you can file a grievance with:
Practice Manger/ Compliance Officer
710 Kenmoor Ave SE
Suite 200
Grand Rapids, MI 49546
616-588-7246, fax 616-588-7086.
You can file a grievance in person or by fax, or email. If you need help filing a grievance the practice manager 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 Complain Portal, available at:
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone:
U.S. Department of Health and Human Services
200 Independence Ave SW, Room 509F, HHH Building
Washington, DC 20201
1-800-368-1019, 800-537-7697(TDD)
Complaint forms are available at: http://hhs.gov/ocr/office/file/index.html
Spanish:
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.
Llame al 1-616-588-7246 (TTY: 1-800-877-8973).
Arabic:
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-616-588-7246 (رقم هاتف الصم والبكم: 1-800-877-8963).
Chinese:
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 1-616-588-7246（TTY：1-800-877-8973）。
Syrian
ܙܘܼܗܵܪܵܐ: ܐܸܢ ܐܲܚܬܘܿܢ ܟܹܐ ܗܲܡܙܸܡܝܼܬܘܿܢ ܠܸܫܵܢܵܐ ܐܵܬܘܿܪܵܝܵܐ، ܡܵܨܝܼܬܘܿܢ ܕܩܲܒܠܝܼܬܘܿܢ ܚܸܠܡܲܬܹܐ ܕܗܲܝܲܪܬܵܐ ܒܠܸܫܵܢܵܐ ܡܲܓܵܢܵܐܝܼܬ. ܩܪܘܿܢ ܥܲܠ ܡܸܢܝܵܢܵܐ 1-616-588-7246(TTY: 1-800-877-8963)
Vietnamese
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụhỗtrợngôn ngữmiễn phí dành cho bạn. Gọi số
1-616-588-7246 (TTY: 1-800-877-8973).
Albanian:
KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-616-588-7246 (TTY: 1-800-877-8973).
Korean
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-616-588-7246 (TTY: 1-800-877-8963 )번으로 전화해 주십시오.
Bengali:
লক্ষ্য করুনঃ যদি আপনি বাংলা, কথা বলতে পারেন, তাহলে নিঃখরচায় ভাষা সহায়তা পরিষেবা উপলব্ধ আছে। ফোন করুন ১-616-588-7246 (TTY: ১-800-877-8963)।
Polish:
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-616-588-7246 (TTY: 1-800-877-8963).
German
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-616-588-7246 (TTY: 1-800-877-8963).
Italian:
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-616-588-7246 (TTY: 1-800-877-8963).
Japanese:
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。1-616-588-7246（TTY:1-800-877-8963）まで、お電話にてご連絡ください。
Russian:
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-616-588-7246 (телетайп: 1-877-800-8963).
Serbo-Croatian
OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-616-588-7246 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 1-800-877-8963).
Tagalog:
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-616-588-7246 (TTY: 1-800-877-8963).
