Notice Informing Individuals About Nondiscrimination and Accessibility Requirements

DISCRIMINATION IS AGAINST THE LAW

Athletic Orthopedic and Knee Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Athletic Orthopedic and Knee Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Athletic Orthopedic and Knee Center:

  • 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 Athletic Orthopedics Compliance Officer, Nora Lopez.

If you believe that Athletic Orthopedic and Knee 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:

  • Athletic Orthopedic and Knee Center Compliance Officer: Nora Lopez
  • Mailing Address: 9180 Katy Freeway, Suite #200 Katy, Texas 77055
  • Telephone number: 713-984-1400
  • Fax: 713-984-0544
  • Email: noralopez@aokc.net

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Athletic Orthopedic Compliance Officer, 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 Ave. SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-868-1019, 800-537-7697 (TDD). Complaint forms are available at www.hhs.gov/ocr/office/file/index.html.

Nondiscrimination Statement for Significant Publications and Significant Communications ThatAre Small-Sized

Athletic Orthopedic and Knee Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Section 1557 of the Affordable Care Act Grievance Procedure

It is the policy of Athletic Orthopedic and Knee Center not to discriminate on the basis of race, color, national origin, sex, age, ordisability. Athletic Orthopedic and Knee Centerhas adopted an internal grievance procedure providing for prompt and equitableresolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116)and its implementing regulations at 45 CFR Part 92, issued by the U.S. Department of Health and Human Services.Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain healthprograms and activities. Section 1557 and its implementing regulations may be examined in the office of Nora Lopez, Practice Manager, 9180 Katy Freeway Suite, 200 Houston, Texas 77055, 713-984-1400, Fax 713-984-0544, noralopez@aokc.net, who has been designated to coordinate the efforts of Athletic Orthopedics and KneeCenter to comply with Section 1557.

Any person who believes someone has been subjected to discrimination on the basis of race, color, national origin, sex,age, or disability may file a grievance under this procedure. It is against the law for Athletic Orthopedics and Knee Center to retaliateagainst anyone who opposes discrimination, files a grievance, or participates in the investigation of a grievance.

Procedure:

  • Grievances must be submitted to the Section 1557 Coordinator within (60 days) of the date the person filing the grievance becomes aware of the alleged discriminatory action.
  • A complaint must be in writing, containing the name and address of the person filing it. The complaint must state the problem or action alleged to be discriminatory and the remedy or relief sought.
  • The Section 1557 Coordinator (or her/his designee) shall conduct an investigation of the complaint. This investigation may be informal, but it will be thorough, affording all interested persons an opportunity to submit evidence relevant to the complaint. The Section 1557 Coordinator will maintain the files and records of Athletic Orthopedic and Knee Center relating to such grievances. To the extent possible, and in accordance with applicable law, the Section 1557
  • Coordinator will take appropriate steps to preserve the confidentiality of files and records relating to grievances and will share them only with those who have a need to know.
  • The Section 1557 Coordinator will issue a written decision on the grievance, based on a preponderance of the evidence, no later than 30 days after its filing, including a notice to the complainant of his or her right to pursue further administrative or legal remedies.
  • The person filing the grievance may appeal the decision of the Section 1557 Coordinator by writing to the (Administrator/Chief Executive Officer/Board of Directors/etc.) within 15 days of receiving the Section 1557 Coordinator’s decision. The (Administrator/Chief Executive Officer/Board of Directors/etc.) shall issue a written decision in response to the appeal no later than 30 days after its filing.

The availability and use of this grievance procedure does not prevent a person from pursuing other legal oradministrative remedies, including filing a complaint of discrimination on the basis of race, color, national origin, sex,age, or disability in court or with the U.S. Department of Health and Human Services, Office for Civil Rights. A personcan file a complaint of discrimination electronically through the Office for Civil Rights Complaint Portal, which isavailable at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and HumanServices, 200 Independence Ave. SW., Room 509F, HHH Building, Washington, DC 20201.

Complaint forms are available at: www.hhs.gov/ocr/office/file/index.html. Such complaints must be filed within 180 daysof the date of the alleged discrimination.

Athletic Orthopedic and Knee Centerwill make appropriate arrangements to ensure that individuals with disabilities and individualswith limited English proficiency are provided auxiliary aids and services or language assistance services, respectively,if needed to participate in this grievance process. Such arrangements may include, but are not limited to, providingqualified interpreters, providing taped cassettes of material for individuals with low vision, or ensuring a barrier-freelocation for the proceedings. The Section 1557 Coordinator will be responsible for such arrangements.

  • Notice Informing Individuals About Nondiscrimination and Accessibility Requirements

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