Pediatric Specialists of Pendleton, LLC

Section 1557 of the Affordable Care Act

Nondiscrimination Statement

 

Pediatric Specialists of Pendleton, LLC (PSP) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.  PSP does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

 

 Pediatric Specialists of Pendleton, LLC:

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

o   Written information in other formats (large print, audio, accessible electronic 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 PSP Office Manager.

 

If you believe that Pediatric Specialists of Pendleton, LLC 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:

 

PSP Office Manager

2461 SW Perkins Ave

Phone: (541) 276-0250

Fax: (541) 276-0253

 

You can file a grievance in person, by mail, or by fax. If you need help filing a grievance, the PSP Office 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 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.

 

ATTENTION:  If you speak Spanish, language assistance services, free of charge, are available to you. An interpreter is available for appointment scheduling and a translation service is used for medical appointments. You may call our office directly for these services: (541) 276-0250.