NON-DISCRIMINATION NOTICE

Discrimination is Against the Law

Premier Orthopaedics and Sports Medicine Associates, Ltd. (Premier) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. does not exclude people or treat them differently because of race, color, national origin, age,disability, or sex.

Premier:

• Will provide 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)
• Will provide 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 Pamela Alderson, Chief Operating Officer.

If you believe that Premier 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:

Pamela Alderson

Chief Operating Officer

3809 West Chester Pike, Suite 150

Newtown Square, PA 19073

(P) 610-723-7250

(F) 610-853-3317

palderson@premierortho.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, please contact Comfort Dixon, executive assistant, at cdixon@premierortho.com.

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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