NOTICE INFORMING INDIVIDUALS ABOUT NONDISCRIMINATION

AND ACCESSIBILITY REQUIREMENTS

Skin Cancer Specialists, P.C. & Aesthetic Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Skin Cancer Specialists, P.C. & Aesthetic Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Skin Cancer Specialists, P.C. & Aesthetic Center:

  • 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 Marcy Gilmore.

If you believe that Skin Cancer Specialists, P.C. & Aesthetic 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: Marcy Gilmore, Administrative Assistant 835 Cogburn Ave. N.W. Suite 100, Marietta, GA  30060, Telephone number: 770-422-5557,  Fax: 770-422-5456, Email:  marcy.gilmore@skincancerspecialists.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Marcy Gilmore 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.

ATTACHMENT A – TAGLINES

  1. Español – Spanish ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-770-422-5557
  1. Tiếng Việt – Vietnamese CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-770-422-5557
  2. 한국어Korean 주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  1-770-422-5557 번으로 전화해 주십시오.
  3. 繁體中文Chinese 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1-770-422-5557。
  4. Français – French ATTENTION :  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le 1-770-422-5557.
  5. ગુજરાતીGujarati  સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો  1-770-422-5557.
  6. አማርኛAmharic  ማስታወሻ:  የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-770-422-5557.
  7. Русский – Russian ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-770-422-5557.
  8. Kreyòl Ayisyen – French Creole (Haitian Creole) ATANSYON:  Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.  Rele 1-770-422-5557.
  9. हिंदीHindi  ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-770-422-5557  पर कॉल करें।
  10. العربيةArabicملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-770-422-5557 (رقم
  1. Português – Portuguese ATENÇÃO:  Se fala português, encontram-se disponíveis serviços linguísticos, grátis.  Ligue para 1-770-422-5557.
  2. فارسیPersian (Farsi)توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با 1-770-422-5557  تماس بگیرید.
  1. 日本語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。1-770-422-5557まで、お電話にてご連絡ください。
  2. Srpsko-hrvatski – Serbo-Croatian OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno.  Nazovite 1-770-422-5557