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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 860.658.0446。
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ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 860.658.0446.
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CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 860.658.0446.
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 860-658-0446 (رقم
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 860.658.0446 번으로 전화해 주십시오.
ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 860.658.0446 पर कॉल करें।
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ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 860.658.0446.
Connecticut Maxillofacial Surgeons (CTMAX) does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Connecticut Maxillofacial Surgeons (CTMAX):
- 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 Victoria Pandiscio, Practice Administrator
If you believe that Connecticut Maxillofacial Surgeons (CTMAX) 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: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, Phone: 860.658.0446 x 214, Fax: 860.651.1034, Email: ctmax.admin@ctmaxillofacial.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Victoria Pandiscio, Practice Administrator 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.
Connecticut Maxillofacial Surgeons (CTMAX) no excluye a las personas ni las trata de forma diferente debido a su origen étnico, color, nacionalidad, edad, discapacidad o sexo.
Connecticut Maxillofacial Surgeons (CTMAX):
- Proporciona asistencia y servicios gratuitos a las personas con discapacidades para que se comuniquen de manera eficaz con nosotros, como los siguientes:
- Intérpretes de lenguaje de señas capacitados.
- Información escrita en otros formatos (letra grande, audio, formatos electrónicos accesibles, otros formatos).
- Proporciona servicios lingüísticos gratuitos a personas cuya lengua materna no es el inglés, como los siguientes:
- Intérpretes capacitados.
- Información escrita en otros idiomas.
Si necesita recibir estos servicios, comuníquese con Victoria Pandiscio, Practice Administrator.
Si considera que Connecticut Maxillofacial Surgeons (CTMAX) no le proporcionó estos servicios o lo discriminó de otra manera por motivos de origen étnico, color, nacionalidad, edad, discapacidad o sexo, puede presentar un reclamo a la siguiente persona: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, Phone: 860.658.0446 x 214, Fax: 860.651.1034, Email: ctmax.admin@ctmaxillofacial.com. Puede presentar el reclamo en persona o por correo postal, fax o correo electrónico. Si necesita ayuda para hacerlo, Victoria Pandiscio, Practice Administrator está a su disposición para brindársela.
También puede presentar un reclamo de derechos civiles ante la Office for Civil Rights (Oficina de Derechos Civiles) del Department of Health and Human Services (Departamento de Salud y Servicios Humanos) de EE. UU. de manera electrónica a través de Office for Civil Rights Complaint Portal, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal a la siguiente dirección o por teléfono a los números que figuran a continuación:
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)
Puede obtener los formularios de reclamo en el sitio web http://www.hhs.gov/ocr/office/file/index.html.
Connecticut Maxillofacial Surgeons (CTMAX) não exclui ou trata de forma diferente devido à raça, cor, nacionalidade, idade, deficiência ou sexo.
Connecticut Maxillofacial Surgeons (CTMAX):
- Faculta ajuda e serviços gratuitos a pessoas com dificuldades de comunicar de forma eficaz connosco, tais como:
- Intérpretes de língua gestual qualificados
- Informação escrita noutros formatos (impressão maior, áudio, formatos electrónicos acessíveis, outros formatos)
- Faculta serviços linguísticas grátis a pessoas cuja língua principal não é inglês, tais como:
- Intérpretes qualificados
- Informação escrita noutros idiomas
Se necessita destes serviços, contacte Victoria Pandiscio, Practice Administrator
Se considera que a Connecticut Maxillofacial Surgeons (CTMAX) não cumpriu estes serviços ou exerceu discriminação de outra forma com base na raça, cor, nacionalidade, idade, deficiência ou sexo, pode apresentar uma reclamação junto de: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, 860.658.0446 x 214, 860.651.1034, ctmax.admin@ctmaxillofacial.com. Pode apresentar uma reclamação pessoalmente ou por correio, fax ou e-mail. Se precisar de ajuda para efectuar a reclamação, o/a Victoria Pandiscio, Practice Administrator estará disponível para o/a auxiliar.
Pode também apresentar uma reclamação de direitos civis junto do U.S. Department of Health and Human Services (Departamento de Saúde e dos Serviços Humanos dos Estados Unidos da América), Office for Civil Rights (Gabinete de Direitos Civis), por via electrónica através do Office for Civil Rights Complaint Portal, disponível em https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, ou por correio ou telefone:
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)
Os formulários de reclamações encontram-se disponíveis em http://www.hhs.gov/ocr/office/file/index.html.
Connecticut Maxillofacial Surgeons (CTMAX) nie wyklucza żadnych osób i nie stosuje różnego traktowania ze względu na rasę, kolor skóry, pochodzenie, wiek, niepełnosprawność bądź płeć.
Connecticut Maxillofacial Surgeons (CTMAX):
- Zapewnia bezpłatną pomoc i usługi osobom niepełnosprawnym w celu umożliwienia skutecznej
komunikacji, na przykład: - Wykwalifikowanych tłumaczy języka migowego
- Informacje na piśmie w różnych formatach (duży druk, audio, dostępne formaty
elektroniczne, inne formaty) - Zapewnia bezpłatne usługi językowe dla osób, dla których angielski nie jest pierwszym
językiem, na przykład: - Wykwalifikowanych tłumaczy
- Informacje na piśmie w innych językach
Jeżeli chcesz skorzystać z tych usług, skontaktuj się z Victoria Pandiscio, Practice Administrator.
Jeżeli uważasz, że Connecticut Maxillofacial Surgeons (CTMAX) nie świadczy tych usług lub w inny sposób dopuszcza się dyskryminacji ze względu na rasę, koloru skóry, pochodzenie, wiek, niepełnosprawność bądź płeć, możesz złożyć skargę do: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, Phone: 860.658.0446 x 214, Fax: 860.651.1034, Email: ctmax.admin@ctmaxillofacial.com. Skargę można złożyć osobiście, za pośrednictwem poczty tradycyjnej, elektronicznej lub faksu. Jeżeli potrzebujesz pomocy w złożeniu skargi, Victoria Pandiscio, Practice Administrator może w tym pomóc.
Skargę obywatelską można również złożyć w U.S. Department of Health and Human Services (Departamentu Zdrowia i Opieki Społecznej Stanów Zjednoczonych), Office for Civil Rights (Biuro Praw Obywatelskich), drogą elektroniczną za pośrednictwem Office for Civil Rights Complaint Portal na stronie https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, pocztą tradycyjną lub dzwoniąc pod numer telefonu:
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)
Formularze skarg są dostępne na stronie http://www.hhs.gov/ocr/office/file/index.html.
[Name of covered entity] 不因種族、膚色、民族血統、年齡、殘障或性別而排斥任何人或以不同的方式對待他們。
Connecticut Maxillofacial Surgeons (CTMAX)：
- 向殘障人士免費提供各種援助和服務，以幫助他們與我們進行有效溝通，如：
- 合格的手語翻譯員
- 以其他格式提供的書面資訊（大號字體、音訊、無障礙電子格式、其他格式）
- 向母語非英語的人員免費提供各種語言服務，如：
- 合格的翻譯員
- 以其他語言書寫的資訊
如果您需要此類服務，請聯絡 Victoria Pandiscio, Practice Administrator
如果您認為 Connecticut Maxillofacial Surgeons (CTMAX) 未能提供此類服務或者因種族、膚色、民族血統、年齡、殘障或性別而透過其他方式歧視您，您可以向 Victoria Pandiscio, Practice Administrator 提交投訴，郵寄地址為 507 Hopmeadow Street, Simsbury, CT 06070,，電話號碼為 860.658.0446 x 214、傳真為 860.651.1034，電子信箱為 ctmax.admin@ctmaxillofacial.com。您可以親自提交投訴，或者以郵寄、傳真或電郵的方式提交投訴。如果您在提交投訴方面需要幫助，Victoria Pandiscio, Practice Administrator 可以幫助您。
您還可以向 U.S. Department of Health and Human Services（美國衛生及公共服務部）的 Office for Civil Rights（民權辦公室）提交民權投訴，透過 Office for Civil Rights Complaint Portal 以電子方式投訴：https://ocrportal.hhs.gov/ocr/portal/lobby.jsf，或者透過郵寄或電話的方式投訴：
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)（聾人用電信設備）
登入 http://www.hhs.gov/ocr/office/file/index.html 可獲得投訴表格。
Connecticut Maxillofacial Surgeons (CTMAX) non esclude le persone o le tratta diversamente a causa di razza, colore, origine nazionale, età, disabilità o sesso.
Connecticut Maxillofacial Surgeons (CTMAX):
- Offre sostegni e servizi gratuiti alle persone affette da disabilità per comunicare con noi in modo
efficace, quali: - Interpreti qualificati nella lingua dei segni
- Informazioni scritte in altri formati (stampe a grandi caratteri, audio, formati elettronici
accessibili, altri formati) - Offre servizi linguistici gratuiti alle persone la cui lingua primaria non è l’inglese, quali:
- Interpreti qualificati
- Informazioni scritte in altre lingue
In caso si necessiti di tali servizi, contattare Victoria Pandiscio, Practice Administrator.
In caso si ritenga che Connecticut Maxillofacial Surgeons (CTMAX) non abbia offerto tali servizi o abbia posto in essere discriminazioni in altri modi sulla base di razza, colore, origine nazionale, età, disabilità o sesso, è possibile presentare una vertenza a: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, Phone: 860.658.0446 x 214, Fax: 860.651.1034, Email: ctmax.admin@ctmaxillofacial.com. È possibile presentare una vertenza di persona o a mezzo posta, fax oppure e-mail. In caso si necessiti di aiuto per la presentazione della vertenza, Victoria Pandiscio, Practice Administrator è disponibile a fornire assistenza.
È altresì possibile presentare un reclamo per i diritti civili allo U.S. Department of Health and Human Services (Dipartimento statunitense per la salute e i servizi umani), Office for Civil Rights (Ufficio per i diritti civili), elettronicamente mediante il Office for Civil Rights Complaint Portal, disponibile all’indirizzo https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, oppure a mezzo posta o telefono all’attenzione di:
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)
I moduli di reclamo sono disponibili all’indirizzo http://www.hhs.gov/ocr/office/file/index.html.
Connecticut Maxillofacial Surgeons (CTMAX) n’exclut et ne traite aucune personne différemment en raison de sa race, sa couleur de peau, son origine nationale, son âge, son sexe ou son handicap.
Connecticut Maxillofacial Surgeons (CTMAX):
- Fournit gratuitement des aides et services aux personnes handicapées afin de permettre une
communication efficace avec nous, par exemple : - Interprètes qualifiés en langue des signes
- Informations écrites dans d’autres formats (gros caractères, audio, formats électroniques
accessibles, autres formats) - Fournit gratuitement des services linguistiques aux personnes dont la langue principale n’est pas
l’anglais, par exemple : - Interprètes qualifiés
- Informations écrites dans d’autres langues
Si vous avez besoin de ces services, contactez Victoria Pandiscio, Practice Administrator.
Si vous pensez que Connecticut Maxillofacial Surgeons (CTMAX) n’a pas fourni ces services ou a fait preuve d’une autre forme de discrimination basée sur la race, la couleur de peau, l’origine nationale, l’âge, le sexe ou le handicap, vous pouvez déposer une réclamation auprès de : Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, Phone: 860.658.0446 x 214, Fax: 860.651.1034, Email: ctmax.admin@ctmaxillofacial.com. Vous pouvez déposer une réclamation en personne ou par courrier, télécopie ou e-mail. Si vous avez besoin d’aide pour déposer une réclamation, Victoria Pandiscio, Practice Administrator se tient à votre disposition pour vous y aider.
Vous pouvez également déposer une réclamation concernant vos droits civiques auprès de l’U.S. Department of Health and Human Services (Département de la Santé et des Services Sociaux des ÉtatsUnis), Office for Civil Rights (Bureau des Droits Civiques), par voie électronique via l’Office for Civil Rights Complaint Portal, disponible à l’adresse https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, par courrier ou par téléphone à :
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)
Des formulaires de réclamation sont disponibles à l’adresse http://www.hhs.gov/ocr/office/file/index.html.
Connecticut Maxillofacial Surgeons (CTMAX) pa ekskli moun oswa trete yo nan fason ki diferan akoz ras, koulè, peyi orijin, laj, enfimite oswa sèks yo.
Connecticut Maxillofacial Surgeons (CTMAX):
- Enèprèt langaj siy ki kalifye
- Enfòmasyon ekri nan lòt fòma (gwo lèt, odyo, fòma elektwonik ki aksesib, lòt fòma)
- Bay sèvis lang gratis a moun lang prensipal yo pa Anglè, tankou:
- Enèprèt kalifye
- Enfòmasyon ki ekri nan lòt lang
Si w bezwen sèvis sa yo, kontakte Victoria Pandiscio, Practice Administrator
Si w kwè Connecticut Maxillofacial Surgeons (CTMAX) pa t bay sèvis sa yo oswa te fè diskriminasyon nan yon lòt fason sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks, ou ka depoze yon plent nan: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, 860.658.0446 x 214, 860.651.1034, ctmax.admin@ctmaxillofacial.com. Ou ka depoze yon plent an pèsòn oswa pa lapòs, pa faks oswa pa imel. Si w bezwen èd pou w depoze yon plent Victoria Pandiscio, Practice Administrator disponib pou ede w.
Ou ka depoze yon plent pou dwa sivil tou nan U.S. Department of Health and Human Services, (Ministè Sèvis Sante ak Imen Ameriken), Office for Civil Rights (Biwo Dwa Sivil) atravè Office for Civil Rights Portal, pa mwayen elektwonik ki disponib nan https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, oswa pa lapòs oswa:
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)
Fòmilè pou plent yo disponib nan http://www.hhs.gov/ocr/office/file/index.html.
Connecticut Maxillofacial Surgeons (CTMAX) не исключает людей и не относится к ним по-разному из-за расы, цвета кожи, национальной принадлежности, возраста, инвалидности или пола.
Connecticut Maxillofacial Surgeons (CTMAX):
- Для эффективного взаимодействия предоставляет безвозмездную помощь и оказывает услуги людям с ограниченными возможностями, а именно:
- услуги квалифицированных сурдопереводчиков;
- письменную информацию в других форматах (крупный шрифт, аудио формат, доступные электронные форматы, прочие форматы).
- Предоставляет бесплатные услуги перевода людям, для которых английский не является основным языком, а именно:
- услуги квалифицированных переводчиков;
- письменную информацию на других языках.
Если вы нуждаетесь в таких услугах, обратитесь к Victoria Pandiscio, Practice Administrator
Если вы считаете, что в Connecticut Maxillofacial Surgeons (CTMAX) вам не предоставили указанных услуг или иным образом дискриминировали вас по признакам расы, цвета кожи, национальной принадлежности, возраста, инвалидности или пола, вы можете подать жалобу: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, 860.658.0446 x 214, 860.651.1034, ctmax.admin@ctmaxillofacial.com. Вы можете подать жалобу лично или отправить по почте, факсу или электронной почте. Если вам нужна помощь в подаче жалобы, вам поможет Victoria Pandiscio, Practice Administrator.
Вы также можете подать жалобу о нарушении гражданских прав в U.S. Department of Health and Human Services (Министерство здравоохранения и социальных служб США), Office for Civil Rights (Управление по гражданским правам), в электронном виде через Office for Civil Rights Complaint Portal, доступный по ссылке: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, по почте или по телефону:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201 (США)
1-800-368-1019, 800-537-7697 (TDD)
Бланки жалобы доступны по адресу: http://www.hhs.gov/ocr/office/file/index.html.
Connecticut Maxillofacial Surgeons (CTMAX) không loại trừ mọi người hoặc đối xử với họ khác biệt vì chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính.
Connecticut Maxillofacial Surgeons (CTMAX):
- Cung cấp dịch vụ hỗ trợ miễn phí cho những người khuyết tật để giao tiếp với chúng tôi có hiệu quả, như:
- Thông dịch viên ngôn ngữ ký hiệu đủ năng lực
- Thông tin bằng văn bản ở các định dạng khác (chữ in lớn, âm thanh, định dạng điện tử có thể tiếp cận, các định dạng khác)
- Cung cấp miễn phí các dịch vụ ngôn ngữ cho những người có ngôn ngữ chính không phải là tiếng Anh, như:
- Thông dịch viên đủ năng lực
- Thông tin được trình bày bằng ngôn ngữ khác
Nếu bạn cần những dịch vụ này, hãy liên hệ Victoria Pandiscio, Practice Administrator
Nếu bạn tin rằng Connecticut Maxillofacial Surgeons (CTMAX) không cung cấp những dịch vụ này hoặc phân biệt đối xử theo cách khác dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính, bạn có thể nộp đơn khiếu nại với: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, 860.658.0446 x 214, 860.651.1034, ctmax.admin@ctmaxillofacial.com. Bạn có thể trực tiếp nộp đơn khiếu nại hoặc gửi qua đường bưu điện, chuyển fax, hoặc email. Nếu bạn cần trợ giúp nộp đơn khiếu nại, Victoria Pandiscio, Practice Administrator sẵn sàng giúp bạn.
Bạn cũng có thể nộp đơn khiếu nại về dân quyền lên U.S. Department of Health and Human Services (Bộ Y Tế và Dịch Vụ Nhân Sinh Hoa Kỳ), Office for Civil Rights (Văn Phòng Dân Quyền) bằng hình thức điện tử qua Office for Civil Rights Complaint Portal, có trên trang https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, hoặc qua đường bưu điện hoặc bằng điện thoại tại:
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)
Các mẫu khiếu nại có trên trang http://www.hhs.gov/ocr/office/file/index.html.
Connecticut Maxillofacial Surgeons (CTMAX) الأشخاص أو يعاملهم على نحو مختلف بسبب النوع أو اللون أو الأصل الوطني أو السن أو الإعاقة أو نوع الجنس.
Connecticut Maxillofacial Surgeons (CTMAX):
- يوفر مساعدات وخدمات مجانية للأشخاص من ذوي الإعاقات للتواصل بصورة فعالة معنا، مثل:
- مترجمي لغة إشارة مؤهلين
- معلومات كتابية بتنسيقات أخرى (مطبوعة بأحرف كبيرة، مواد صوتية، تنسيقات إلكترونية متيسرة، وغير ذلك من التنسيقات)
- يوفر خدمات لغوية مجانية للأشخاص الذين لغتهم الأساسية ليست الإنجليزية، مثل:
- مترجمين مؤهلين
- معلومات مكتوبة بلغات أخرى
إذا كنت بحاجة لهذه الخدمات، اتصل بـ Victoria Pandiscio, Practice Administrator
إذا كنت تعتقد أن Connecticut Maxillofacial Surgeons (CTMAX) قد أخفق في توفير تلك الخدمات أو ميز بطريقة أخرى على أساس العرق أو اللون أو الأصل الوطني أو السن أو الإعاقة أو الجنس، يمكن أن تتقدم بشكوى إلى: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, Phone: 860.658.0446 x 214, Fax: 860.651.1034, Email: ctmax.admin@ctmaxillofacial.com. يمكن أن تتقدم بشكوى شخصيًا أو بالبريد أو بالفاكس أو البريد الإلكتروني. إذا كنت بحاجة للمساعدة في التقدم بشكوى، فإن Victoria Pandiscio, Practice Administrator متاح لمساعدتك.
يمكن أيضًا أن تتقدم بشكوى إلكترونيًا لوزارة Department of Health and Human Services (وزارة الخدمات الصحية والبشرية) ، مكتب Office for Civil Rights (مكتب الحقوق المدنية)، من خلال مكتب Office for Civil Rights Complaint Portal، المتوفر على الرابط https://ocrportal.hhs.gov/ocr/portal/lobby.jsf أو بالبريد أو الهاتف على:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-863-1019, 800-537-7697 (رقم هاتف الصم والبكم)
تتوافر نماذج الشكاوى على الرابط http://www.hhs.gov/ocr/office/file/index.html.
Connecticut Maxillofacial Surgeons (CTMAX)은(는) 인종, 피부색, 출신 국가, 연령, 장애 또는 성별을 이유로 누군가를 배제하거나 다른 방식으로 대우하지 않습니다.
Connecticut Maxillofacial Surgeons (CTMAX):
- 장애인들이 저희와 효과적으로 의사소통할 수 있도록 다음과 같은 무료 지원과 서비스를 제공합니다.
- 자격있는 수화 통역자
- 다른 형식의 서면 정보(큰 활자, 음성, 사용 가능한 전자 형식, 기타 형식)
- 주로 사용하는 언어가 영어가 아닌 이들에게는 다음과 같은 무료 언어 서비스를 제공합니다.
- 자격있는 통역자
- 다른 언어로 작성된 서면 정보/li>
이러한 서비스가 필요하시면 Victoria Pandiscio, Practice Administrator에 연락하십시오.
Connecticut Maxillofacial Surgeons (CTMAX) 이(가) 인종, 피부색, 출신 국가, 연령, 장애 또는 성별을 이유로 이러한 서비스를 제공하지 않거나 다른 방식으로 차별했다고 생각하시는 경우 Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, 860.658.0446 x 214, 860.651.1034, ctmax.admin@ctmaxillofacial.com(으)로 연락하여 불만을 제기하실 수 있습니다. 직접 방문하거나 우편, 팩스 또는 이메일로 불만을 제기하실 수 있습니다. 불만 제기와 관련하여 도움이 필요하시면, Victoria Pandiscio, Practice Administrator(으)로부터 지원을 받으실 수 있습니다.
또한 공민권 민원을 미국 Department of Health and Human Services(보건복지부), Office for Civil Rights(시민권 사무국)에 https://ocrportal.hhs.gov/ocr/portal/lobby.jsf에 있는 시민권 사무국 민원 포털을 통해 전자 방식으로 제출하거나 우편이나 전화로 제출할 수 있습니다. 주소 및 연락처는 다음과 같습니다.
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)
민원 양식은 http://www.hhs.gov/ocr/office/file/index.html에 있습니다.
Connecticut Maxillofacial Surgeons (CTMAX) nuk i përjashton personat ose nuk i trajton ata në mënyrë të diferencuar për shkak të racës, ngjyrës, prejardhjes etnike, moshës, aftësisë së kufizuar ose gjinisë.
Connecticut Maxillofacial Surgeons (CTMAX):
- Ofron ndihmë dhe shërbime falas për personat me aftësi të kufizuara për të komunikuar në mënyrë efektive me ne, si p.sh.:
- Interpretues të kualifikuar të gjuhës së shenjave
- Informacione me shkrim në formate të tjera (me germa të mëdha, audio, formate elektronike të aksesueshme, formate të tjera)
- Ofron shërbime gjuhësore falas për personat që nuk kanë anglishten si gjuhë të parë të tyren, si p.sh.:
- Interpretues të kualifikuar
- Informacione me shkrim në gjuhë të tjera
Nëse ju nevojiten këto shërbime, kontaktoni me Victoria Pandiscio, Practice Administrator
Nëse besoni se Connecticut Maxillofacial Surgeons (CTMAX) ka dështuar në ofrimin e këtyre shërbimeve apo ju ka diskriminuar në një mënyrë tjetër në bazë të racës, ngjyrës, prejardhjes etnike, moshës, aftësisë së kufizuar apo gjinisë, ju mund të depozitoni një ankesë pranë: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, 860.658.0446 x 214, 860.651.1034, ctmax.admin@ctmaxillofacial.com. Ankesën mund ta depozitoni personalisht ose ta dërgoni me postë, faks ose email. Nëse ju nevojitet ndihmë për depozitimin e një ankese, Victoria Pandiscio, Practice Administrator do të jetë në dispozicionin tuaj për t’ju ndihmuar.
Ju mund të depozitoni gjithashtu një ankesë për të drejtat civile pranë U.S. Department of Health and Human Services (Departamenti Amerikan i Shërbimeve të Shëndetit dhe Njeriut), Office for Civil Rights (Zyra për të Drejtat Civile), në mënyrë elektronike përmes Office for Civil Rights Complaint Portal, që gjendet në adresën https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, ose me postë apo telefon në:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-868-1019, 800-537-7697 (TDD)
Formularët e ankesave gjenden në adresën http://www.hhs.gov/ocr/office/file/index.html.
Connecticut Maxillofacial Surgeons (CTMAX) जाति, रंग, राष्ट्रीय मूल, आयु, विकलांगता, या लिंग के आधार पर लोगों को बाहर या उनके साथ अलग तरह का बर्ताव नहीं करता है।
Connecticut Maxillofacial Surgeons (CTMAX):
- विकलांग लोगों को हमारे साथ प्रभावशाली ढंग से संवाद करने के लिए निःशुल्क सहायता और सेवाएं प्रदान करता है, जैसे:
- योग्यताप्राप्त सांकेतिक भाषा दुभाषिया
- अन्य फॉर्मेट (बड़े प्रिंट, ऑडियो, सुलभ इलेक्ट्रॉनिक फॉर्मेट, अन्य फॉर्मेट) में लिखित जानकारी
- जिन लोगों की प्राथमिक भाषा अंग्रेज़ी नहीं है उन लोगों को निःशुल्क भाषा सेवाएं प्रदान करता है, जैसे:
- योग्यताप्राप्त दुभाषिया
- अन्य भाषाओं में लिखित जानकारी
यदि आपको इन सेवाओं की आवश्यकता है तो Victoria Pandiscio, Practice Administrator से संपर्क करें
यदि आपको विश्वास है कि Connecticut Maxillofacial Surgeons (CTMAX) ये सेवाएं प्रदान करने में विफल रहा है या जाति, रंग, राष्ट्रीय मूल, आयु, विकलांगता, या लिंग के आधार पर किसी तरह से कोई भेदभाव किया है तो आप निम्नलिखित के पास शिकायत दर्ज करा सकते हैं: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, 860.658.0446 x 214, 860.651.1034, ctmax.admin@ctmaxillofacial.com. आप स्वयं जाकर या डाक, फैक्स, या ईमेल द्वारा भी शिकायत दर्ज करा सकते हैं। यदि आपको शिकायत दर्ज कराने में सहायता की आवश्यकता है तो Victoria Pandiscio, Practice Administrator आपकी सहायता के लिए उपलब्ध है।
आप https://ocrportal.hhs.gov/ocr/portal/lobby.jsf पर उपलब्ध, Office for Civil Rights Complaint Portal के माध्यम से इलेक्ट्रॉनिक तरीके से, या डाक या फोन द्वारा भी U.S. Department of Health and Human Services (यू.एस. डिपार्टमेंट ऑफ़ हेल्थ एण्ड ह्यूमन सर्विसेज़), Office for Civil Rights (ऑफिस फॉर सिविल राइट्स) के पास भी एक नागरिक अधिकार शिकायत दर्ज करा सकते हैं:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-868-1019, 800-537-7697 (TDD)
शिकायत फॉर्म http://www.hhs.gov/ocr/office/file/index.html पर उपलब्ध हैं।
Ang Connecticut Maxillofacial Surgeons (CTMAX) ay hindi nagtatangi ng mga tao o hindi nagpapakita ng ibang pakikitungo dahil sa lahi, kulay, bansang pinagmulan, edad, kapansanan o kasarian.
Ang Connecticut Maxillofacial Surgeons (CTMAX) ay:
- Nagbibigay ng mga libreng tulong at serbisyo sa mga taong may kapansanan upang mahusay silang makipag-ugnayan sa amin, gaya ng:
- Mga kwalipikadong interpreter ng sign language
- Nakasulat na impormasyon sa iba pang mga format (malaking print, audio, mga naa-access na electronic na format, iba pang mga format)
- Nagbibigay ng mga libreng serbisyo sa wika sa mga taong hindi Ingles ang pangunahing wika, gaya ng:
- Mga kwalipikadong interpreter
- Impormasyong nakasulat sa iba pang mga wika
Kung kailangan mo ang mga serbisyong ito, makipag-ugnayan kay Victoria Pandiscio, Practice Administrator
Kung naniniwala kang hindi naibigay ng Connecticut Maxillofacial Surgeons (CTMAX) ang mga serbisyong ito o nandiskrimina ito sa ibang paraan batay sa lahi, kulay, bansang pinagmulan, edad, kapansanan o kasarian, maaari kang maghain ng karaingan sa: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, 860.658.0446 x 214, [TTY number—if covered entity has one], 860.651.1034, ctmax.admin@ctmaxillofacial.com. Maaari kang maghain ng karaingan nang personal o sa pamamagitan ng koreo, fax o email. Kung kailangan mo ng tulong sa paghahain ng karaingan, narito si Victoria Pandiscio, Practice Administrator upang tulungan ka.
Maaari ka ring maghain ng reklamo sa mga karapatang sibil sa U.S. Department of Health and Human Services (Kagawaran ng Mga Serbisyong Pangkalusugan at Pantao ng U.S.), Office for Civil Rights (Tanggapan para sa Mga Karapatang Sibil), sa electronic na paraan sa Office for Civil Rights Complaint Portal, na makikita sa https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o sa pamamagitan ng koreo o telepono sa:
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)
Ang mga form ng reklamo ay makukuha sa http://www.hhs.gov/ocr/office/file/index.html.
Η Connecticut Maxillofacial Surgeons (CTMAX) δεν αποκλείει άτομα ή τα μεταχειρίζεται διαφορετικά εξαιτίας της φυλής, του χρώματος, της εθνικής καταγωγής, της ηλικίας, της αναπηρίας ή του φύλου τους.
Η Connecticut Maxillofacial Surgeons (CTMAX):
- Παρέχει δωρεάν βοηθήματα και υπηρεσίες στα άτομα με αναπηρία για να επικοινωνούν αποτελεσματικά μαζί μας, όπως:
- Ειδικευμένους διερμηνείς νοηματικής γλώσσας
- Γραπτές πληροφορίες σε διαφορετική μορφή (μεγάλα τυπογραφικά στοιχεία, ηχητικό υλικό, προσβάσιμη ηλεκτρονική μορφή, άλλες μορφές)
- Παρέχει δωρεάν γλωσσικές υπηρεσίες σε άτομα των οποίων η κύρια γλώσσα δεν είναι τα αγγλικά, όπως:
- Ειδικευμένους διερμηνείς
- Πληροφορίες γραμμένες σε άλλες γλώσσες
Αν χρειάζεστε αυτές τις υπηρεσίες, επικοινωνήστε με τον αρμόδιο Victoria Pandiscio, Practice Administrator
Αν πιστεύετε ότι η Connecticut Maxillofacial Surgeons (CTMAX) δεν κατάφερε να σας παράσχει αυτές τις υπηρεσίες ή προέβη σε διακρίσεις με οποιονδήποτε τρόπο με βάση τη φυλή, το χρώμα, την εθνική καταγωγή, την ηλικία, την αναπηρία ή το φύλο μπορείτε να υποβάλετε την καταγγελία σας στον αρμόδιο: Victoria Pandiscio, Practice Administrator, 507 Hopmeadow Street, Simsbury, CT 06070, 860.658.0446 x 214, 860.651.1034, ctmax.admin@ctmaxillofacial.com. Μπορείτε να υποβάλετε την καταγγελία σας αυτοπροσώπως ή μέσω ταχυδρομικής επιστολής, φαξ ή ηλεκτρονικού ταχυδρομείου. Αν χρειάζεστε βοήθεια με την υποβολή της καταγγελίας, ο αρμόδιος Victoria Pandiscio, Practice Administrator βρίσκεται στη διάθεσή σας.
Μπορείτε επίσης να υποβάλετε καταγγελία περί παραβίασης των ατομικών δικαιωμάτων στο Office for Civil Rights (Γραφείο Ατομικών Δικαιωμάτων) του U.S. Department of Health and Human Services (Αμερικανική Υπηρεσία Υγείας και Κοινωνικών Υπηρεσιών), ηλεκτρονικά μέσω του Office for Civil Rights Complaint Portal στο https://ocrportal.hhs.gov/ocr/portal/lobby.jsf ή μέσω ταχυδρομικής επιστολής ή τηλεφωνικά στο:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-868-1019, 800-537-7697 (TDD)
Τα έντυπα καταγγελιών είναι διαθέσιμα στο http://www.hhs.gov/ocr/office/file/index.html.