1. NON-DISCRIMINATION NOTICE
CONCIERCARE, Inc. (and its affiliates) (“CONCIERCARE”) complies with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently because of their race, color, national origin, age, disability, or sex.
CONCIERCARE provides free aids/services to people with disabilities and to people who need language and/or communication assistance. If you need these services, please contact a member of your care team for assistance, or contact CONCIERCARE’s Civil Rights Coordinator at compliance@conciercare.net.
If you believe that CONCIERCARE has failed to provide these services or discriminated in another way based on your race, color, national origin, age, disability, or sex, you can file a grievance with the Civil Rights Coordinator by contacting:
Ethics and Compliance
CONCIERCARE
7540 SW 59th Court, Suite 14
South Miami, FL 33143
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 at:
U.S. Department of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington, D.C. 20201
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
2. LANGUAGE ASSISTANCE SERVICES
The Companies use and disclose PHI in a number of ways connected to your treatment, payment for your care, and our healthcare operations. Some examples of how we may use or disclose your PHI without your authorization are listed below.
(Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-663-6331(TTY: 711).
(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1-888-663-6331(TTY: 711).
(Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụhỗtrợngôn ngữmiễn phí dành cho bạn. Gọi số1-888-663-6331 (TTY: 711).
(Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-663-6331 (TTY: 711).
(Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-663-6331 (телетайп: 711).
(French Creole) ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-888-663-6331 (TTY: 711).
(Arabic) ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-888-663-6331(رقم هاتف الصم والبكم:711).
(Polish) UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-888-663-6331(TTY: 711).
(French) ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-663-6331 (ATS: 711).
(Portuguese) ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-888-663-6331 (TTY: 711).
(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。1-888-663-6331 (TTY: 711) まで、お電話にてご連絡ください。
(Italian) ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-888-663-6331 (TTY: 711).
(Persian Farsi) توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با 1-888-663-6331 (TTY: 711). تماس بگیرید.
(Armenian) ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝Եթեխոսումեքհայերեն, ապաձեզանվճարկարողենտրամադրվելլեզվականաջակցությանծառայություններ: Զանգահարեք1-888-663-6331 (TTY (հեռատիպ)՝711):