Nondiscrimination Policy

A PDF version of this policy can be downloaded here.

Fort Wayne Orthopedics complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Fort Wayne Orthopedics does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Fort Wayne Orthopedics:

• Provides free aids and services to people with disabilities to communicate effectively with us.
• Provides free language services to people whose primary language is not English.

If you need these services, contact the Compliance Officer of Fort Wayne Orthopedics.

If you believe that Fort Wayne Orthopedics 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 in person or by mail, fax, or email.

Compliance Officer
7601 W. Jefferson Blvd., Fort Wayne, IN 46804
Phone: (260) 436-8686
Fax: (260) 434-0836

If you need help filing a grievance, the Compliance Officer is available to help you.

You can also file a civil rights complaint with the Indiana Civil Rights Commission (ICRC) by calling 1-800-628-2909 or filing electronically at in.gov/icrc/.

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 telephone 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; 1-800-537-7697 (TDD)

Tagline Informing Individuals with Limited English Proficiency of Language Assistance Services

ATTENTION: If you speak any of the attached languages, language assistance services, free of charge, are available to you. Call (260) 436-8686

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (260) 436-8686.

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 (260) 436-8686.

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (260) 436-8686

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 (260) 436-8686

Burmese: သတိျပဳရန္- အကယ္၍ သင္သည္ျမန္မာစကား ကိုေျပာပါက၊ ဘာသာစကား အကူအညီ၊ အခမဲ့၊သင့္အတြက္စီစဥ္ေဆာင္ရြက္ေပးပါမည္။ ဖုန္းနံပါတ္1-260-436-8686 (TTY: 1-260-436-8686) သုိ႔

ေခၚဆိုပါ။

:Arabicملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم -اتف الصم

.(260-436-8686-1 :والبكم

Korean: : , . 1-

260-436-8686 (TTY: 1-260-436-8686) .

4

Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

Gọi số 1-260-436-8686 (TTY: 1-260-436-8686).

French: ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés

gratuitement. Appelez le 1-260-436-8686 (ATS : 1-260-436-8686).

Japanese: 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-

260-436-8686（TTY:1-260-436-8686）まで、お電話にてご連絡ください。

Dutch: AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige

diensten. Bel 1-260-436-8686 (TTY: 1-260-436-8686).

Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong

sa wika nang walang bayad. Tumawag sa 1-260-436-8686 (TTY: 1-260-436-8686).

Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги

перевода. Звоните 1-260-436-8686 (телетайп: 1-260-436-8686).

Panjubi: ਧਿਆਨ ਧਿਓ: ਜੇਤੁਸੀ ੀਂਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋ, ਤਾੀਂ ਭਾਸ਼ਾ ਧਵਿੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। 1-

260-436-8686 (TTY: 1-260-436-8686) 'ਤੇ ਕਾਲ ਕਰੋ।

Hindi: ध्यान दें: यदद आप द िंदी बोलते ैं तो आपके दलए मुफ्त में भाषा स ायता सेवाएिं उपलब्ध ैं। 1-260-436-

8686 (TTY: 1-260-436-8686) पर कॉल करें।