Notice of Nondiscrimination
Elizabeth Wende Breast Care, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Elizabeth Wende Breast Care, LLC does not exclude people or treat them differently because of race, color, religion, national origin, age, disability, or sex,
Elizabeth Wende Breast Care, LLC
- 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 Elizabeth Wende Breast Care, LLC at 585-442-2190.
If you believe that Elizabeth Wende Breast Care, LLC 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
Shannon DeMay, Hipaa, Compliance Officer,
170 Sawgrass Drive, Rochester, NY 14620
Fax: 585-442-1837 email: firstname.lastname@example.org
You can file a grievance in person or by mail, fax, or email.
If you need help filing a grievance, Shannon DeMay 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
ATTENTION: Spanish, French, Chinese, Italian, Russian, Vietnamese, Greek, Arabic, Turkish, Portuguese, Korean, Japanese, Hindi, Yiddish or French Creole language assistance services, free of charge, are available to you. Call 585-442-2190.