Riverside Park Surgicenter complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Riverside Park Surgicenter does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Riverside Park Surgicenter:
- 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:
○Information written in other languages
If you need these services, contact Teri Heatwole, Civil Rights Coordinator.
If you believe that Riverside Park Surgicenter 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:
Teri Heatwole, Civil Rights Coordinator, 2001 College Street Jacksonville, Florida 32204,
(904) 355-9800 fax (904) 356-8680, email – firstname.lastname@example.org
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance,
Teri Heatwole Civil Rights 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