NOTICE OF NONDISCRIMINATION

Eye Physicians of Florida and its affiliated entities comply with applicable civil rights laws, including Section 1557 of the Affordable Care Act (Section 1557).  Eye Physicians of Florida does not discriminate on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2)). Eye Physicians of Florida does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.

In compliance with Section 1557 and other federal civil rights laws, we provide individuals the following in a timely manner and free of charge:

• Language assistance services Eye Physicians of Florida will provide language assistance services for individuals with limited English proficiency (including individuals’ companions with limited English proficiency) to ensure meaningful access to our programs, activities, services, and other benefits.  Language assistance services may include:
  • Electronic and written translated documents
  • Qualified interpreters

• Appropriate auxiliary aids and services.  Eye Physicians of Florida will provide appropriate auxiliary aids and services for individuals with disabilities (including individuals’ companions with disabilities) to ensure effective communication.  Appropriate auxiliary aids and services may include:
  • Qualified interpreters, including American Sign Language interpreters
  • Video remote interpreting
  • Information in alternate formats (including but not limited to large print, recorded audio, and accessible electronic format)

• Reasonable modification. Eye Physicians of Florida will provide reasonable modifications for qualified individuals with disabilities, when necessary to ensure accessibility and equal opportunity to participate in our programs, activities, and services, or other benefits.

To access our language assistance services, auxiliary aids and services, and for assistance getting a reasonable modification, please refer to Eye Physicians of Florida’s 1557 Coordinator. 

If you believe Eye Physicians of Florida has failed to provide these services or has discriminated in another way on the basis of race, color, national origin, sex, age, or disability, you can file a grievance with:

1557 Coordinator

Eye Physicians of Florida, L.L.P.

Box 318, 1319 N University Drive

Coral Springs, FL 33071

Email: 1557coordinator@eyefl.com

Phone: (954) 318-7388

Fax: (954) 318-7388

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Eye Physicians of Florida’s 1557 Coordinator 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.

This notice is available at Eye Physicians of Florida’s website: https://eyefl.com

NOTICE OF AVAILABILITY OF LANGUAGE ASSISTANCE SERVICES AND AUXILIARY AIDS AND SERVICES

ENGLISH – ATTENTION: If you speak Spanish, Haitian Creole, Portuguese, French, Vietnamese, Arabic, German, Russian, Chinese, Tagalog (Filipino), Italian, Hindi, Polish, Gujarati, Thai, Korean, free language assistance services are available to you.  Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge.  Call the 1557 Coordinator at (954) 318-7388 or speak to your provider. 

ESPANOL – ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al 1 (954) 318-7388 o hable con su proveedor.

HAITIAN CREOLE – ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd aladispozisyon w gratis pou lang ou pale a. Èd ak sèvis siplemantè apwopriye pou bay enfòmasyon nan fòma aksesib yo disponib gratis tou. Rele nan (954) 318-7388 oswa pale avèk founisè w la.

PORTUTUESE – ATENÇÃO: Se você fala [inserir idioma], serviços gratuitos de assistência linguística estão disponíveis para você. Auxílios e serviços auxiliares apropriados para fornecer informações em formatos acessíveis também estão disponíveis gratuitamente. Ligue para (954) 318-7388 ou fale com seu provedor.

FRENCH – ATTENTION : Si vous parlez Français, des services d’assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le (954) 318-7388 ou parlez à votre fournisseur. 

VIETMAESE – LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số (954) 318-7388 hoặc trao đổi với người cung cấp dịch vụ của bạn.

ARABIC – العربية

تنبيه: إذا كنت تتحدث اللغة العربية، فستتوفر لك خدمات المساعدة اللغوية المجانية. كما تتوفر وسائل مساعدة وخدمات مناسبة لتوفير المعلومات بتنسيقات يمكن الوصول إليها مجانًا. اتصل على الرقم  (954) 318-7388.

GERMAN – ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie (954) 318-7388 an oder sprechen Sie mit Ihrem Provider.

RUSSIAN – РУССКИЙ

ВНИМАНИЕ: Если вы говорите на русский, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону (954) 318-7388 или обратитесь к своему поставщику услуг.

CHINESE (SIMPLIFIED) – 中文

注意：如果您说[中文]，我们将免费为您提供语言协助服务。我们还免费提供适当的辅助工具和服务，以无障碍格式提供信息。致电 (954) 318-7388 或咨询您的服务提供商

TAGALOG- PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa (954) 318-7388 o makipag-usap sa iyong provider.

ITALIAN – ATTENZIONE: se parli Italiano, sono disponibili servizi di assistenza linguistica gratuiti. Sono inoltre disponibili gratuitamente ausili e servizi ausiliari adeguati per fornire informazioni in formati accessibili. Chiama l’ (954) 318-7388 o parla con il tuo fornitore.

HINDI – हिंदी

ध्यान दें: यदि आप हिंदी बोलते हैं, तो आपके लिए निःशुल्क भाषा सहायता सेवाएं उपलब्ध होती हैं। सुलभ प्रारूपों में जानकारी प्रदान करने के लिए उपयुक्त सहायक साधन और सेवाएँ भी निःशुल्क उपलब्ध हैं। 1-(954) 318-7388 पर कॉल करें या अपने प्रदाता से बात करें।

POLSKI – UWAGA: Osoby mówiące po polsku mogą skorzystać z bezpłatnej pomocy językowej. Dodatkowe pomoce i usługi zapewniające informacje w dostępnych formatach są również dostępne bezpłatnie. Zadzwoń pod numer (954) 318-7388 lub porozmawiaj ze swoim dostawcą.

Gujarati – ગુજરાતી

ધ્યાન આપો: જો તમે ગુજરાતી બોલતા હો તો મફત ભાષાકીય સહાયતા સેવાઓ તમારા માટે ઉપલબ્ધ છે. યોગ્ય ઑક્ઝિલરી સહાય અને ઍક્સેસિબલ ફૉર્મેટમાં માહિતી પૂરી પાડવા માટેની સેવાઓ પણ વિના મૂલ્યે ઉપલબ્ધ છે. (954) 318-7388 પર કૉલ કરો અથવા તમારા પ્રદાતા સાથે વાત કરો.

THAI – ไทย

หมายเหตุ: หากคุณใช้ภาษา ไทย เรามีบริการความช่วยเหลือด้านภาษาฟรี  นอกจากนี้ ยังมีเครื่องมือและบริการช่วยเหลือเพื่อให้ข้อมูลในรูปแบบที่เข้าถึงได้โดยไม่เสียค่าใช้จ่าย โปรดโทรติดต่อ (954) 318-7388 หรือปรึกษาผู้ให้บริการของคุณ

Korean – 한국어

주의: [한국어]를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. 1-(954) 318-7388 번으로 전화하거나 서비스 제공업체에 문의하십시오.