SECTION 1557 NON-DESCRIMINATION NOTICE
New Jersey Vein & Cosmetic Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. NJVCSS does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
New Jersey Vein & Cosmetic Surgery Center
• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
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Qualified sign language interpreters
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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:
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Qualified interpreters
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Information written in other languages If you need these services, contact: Harold Mast, MD- Medical Director
If you believe that New Jersey Vein & Cosmetic Surgery 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:
Cindy Naguib, Administrator
Civil Rights Coordinator,
741 Northfield Ave, suite 105, West Orange, NJ 07052
@973-243-9729 or cnaguib@practice-alt.com.
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Cindy Naguib, 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.