Notice of Non Discrimination
Compliance with Nondiscrimination Provision of the Affordable Care Act, Section 1557
Appendix A to Part 92— Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement: Discrimination is Against the Law. Mid-City OB-GYN, P.C. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Mid-City OB-GYN, P.C. does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Mid-City OB-GYN, P.C.
- 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 Lynette Barnes, Business Manager at (402) 397-6600 if you believe that Mid-City OB-GYN, P.C. 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: Lynette Barnes, Business Manager, Mid-City OB-GYN, P.C., 7205 West Center Road, Suite 200, Omaha, Nebraska 68124, (402) 397-6600 or fax (402) 397-8318 or email to firstname.lastname@example.org. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Lynette Barnes, Business Manager 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.
Translated Resources for Covered Entities
Under Section 1557 of the Affordable Care Act (ACA), covered entities are required to post notices of nondiscrimination and taglines that alert individuals with limited English proficiency (LEP) to the availability of language assistance services. The translated resources below are available for use by covered entities.