Clarkston Surgery Center Nondiscrimination Notice
Clarkston Surgery Center Nondiscrimination Notice
Clarkston Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression. Clarkston Surgery Center does not exclude people or treat them differently because of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression.
Clarkston Surgery Center:
Will arrange for free language services to patients upon request. If you need these services, contact Clarkston Surgery Center’s ADA Coordinator at (248) 922-4800 at least 5 business days prior to the date of your scheduled procedure.
If you believe that Clarkston Surgery Center 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:
ADA Coordinator
Clarkston Surgery Center
5701 Bow Pointe Drive Suite 145
Clarkston, Michigan 48346
Phone: (248) 922-4800
Fax: (248) 241-6625
csc@clarckstonsc.com
You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Clarkston Surgery Center’s ADA 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
Clarkston Surgery Center:
Provides free auxiliary aids and services to people with disabilities to communicate effectively with us, such as:
- qualified sign language interpreters, video remote interpreting or other aids for hearing impaired individuals
- written information in multiple formats including large print, audio, accessible electronic formats, or other formats for visually impaired individuals
