Notice of Nondiscrimination

ENT Surgical Associates of Central GA complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.   ENT Surgical Associates of Central GA does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. 

Cook Childrens Physician Network:
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:
        Qualified interpreters
        Information written in other languages 

If you need these services, contact Wendy Hoffman
If you believe that ENT Surgical Associates of Central GA 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: Wendy Hoffman,
                
1719 Russell Pkwy Bldg 300
Warner Robins, GA 31088-5759
Telephone Number: 478-923-0106, TTY: 478-923-0106, Fax: 478-922-5211, Email: [email protected] You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Wendy Hoffman 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.

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CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ há»— trợ ngôn ngữ miá»…n phí dành cho bạn. Gọi số 1-478-923-0106 (TTY: 1-478-923-0106).

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ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-478-923-0106 (መስማት ለተሳናቸው: 1-478-923-0106).

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ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-478-923-0106 (TTY: 1-478-923-0106)

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-478-923-0106 (телетайп: 1-478-923-0106).

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-xxxx-xxx-xxx) رقم .(478-923-0106-1 :والبكم الصم ھ

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s توجھ: اگر بھ زبان فارسی گفتگو Ù…ÛŒ کنید، تسھیلات زبانی بصورت رایگان برای شما .بگیرید تماس         1-478-923-0106 (TTY: 1-478-923-0106) با. باشد Ù…ÛŒ ف

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-478-923-0106 (TTY: 1-478-923-0106).

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。1-478-923-0106(TTY:1-478-923-0106)まで、お電話にてご連絡ください。