PATIENT PORTAL   
PATIENT PORTAL   

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

 

Evansville Surgical Associates:

 

• 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

 

ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-812-424-8231.

 

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1-812-424-8231.

 

ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: 1-812-424-8231.

 

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-812-424-8231.

 

သတိျပဳရန္ - အကယ္၍သင္သည္ျမန္မာစကားကိုေျပာပါက၊ဘာသာစကားအကူအညီ၊အခမဲ့၊သင့္အတြက္စီစဥ္ေဆာင္ရြက္ေပးပါမည္။ဖုန္းနံပါတ္ 1-812-424-8231 သုိ႔ေခၚဆိုပါ။

 

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-812-424-8231 (رقم هاتف الصم والبكم:

 

주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  1-812-424-8231번으로 전화해 주십시오.

 

CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-812-424-8231.

 

ATTENTION :  Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement.  Appelez le 1-812-424-8231.

 

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。1-812-424-8231まで、お電話にてご連絡ください。

 

AANDACHT:  Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten.  Bel 1-812-424-8231.

 

PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa 1-812-424-8231.

 

ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-812-424-8231.

 

ਧਿਆਨਦਿਓ: ਜੇਤੁਸੀਂਪੰਜਾਬੀਬੋਲਦੇਹੋ, ਤਾਂਭਾਸ਼ਾਵਿੱਚਸਹਾਇਤਾਸੇਵਾਤੁਹਾਡੇਲਈਮੁਫਤਉਪਲਬਧਹੈ। 1-812-424-8231 'ਤੇਕਾਲਕਰੋ।

 

ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-812-424-8231  पर कॉल करें।


If you need these services, contact Business Development.
If you believe that Evansville Surgical Associates 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: Alissa McMillan, 520 Mary St., Suite 520, 812-424-8231, Fax – 812-435-8782, alissa.mcmillan@evansvillesurgical.com

 

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Alissa McMillan, Business Development 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
800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.