Associated Podiatry Group of San Carlos
961 Laurel Street
Suite 100
San Carlos, CA 94070
(650) 593-8083

Appendix A to Part 92—Sample Notice Informing Individuals About Nondiscrimination

and Accessibility Requirements and Sample Nondiscrimination Statement:

Discrimination is Against the Law

 

Associated Podiatry Group of San Carlos complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.   Associated Podiatry Group of San Carlos does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Associated Podiatry Group of San Carlos:

  • 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, 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, please contact the Office Manager well in advance of your appointment in order that we can arrange for specific services.

If you believe that Associated Podiatry Group of San Carlos 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: Melissa Leviant, 961 Laurel Street, Suite 100, San Carlos, CA  94070, 650-593-8083, Fax: 650-593-9145.  You can file a grievance in person or by mail or fax.  If you need help filing a grievance, our Office Manager is available to help you.

 

(FOR covered entity with 15 or more employees):

  Not applicable to Associated Podiatry Group of San Carlos as we have less than 15 employees:

            You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office of Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at; http://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 509 F, HHH Building

Washington, D.C.  220201

1-800-368-1019, 800-537-7697 (TDD)

 

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

 


ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-650-593-8083.


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 1-650-593-8083


CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-650-593-8083.


PAUNAWA (Filipino):  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa 1-650-593-8083.


주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  1-650-593-8083번으로 전화해 주십시오.


 

توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با 1-650-593-8083 (TTY: ) تماس بگیرید.


ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-650-593-8083.


 

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。1-650-593-8083     まで、お電話にてご連絡ください。

 

 

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-1-650-593-8083 (رقم هاتx).

 

 

 

LUS CEEV:  Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj.    Hu rau 1-650-593-8083.

 

ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-650-593-8083.