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Nondiscrimination Statement

Download a copy of our Nondiscrimination Statement [PDF]

Stevens Eyecare Associates understands that discrimination is against the law and complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.We do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

When necessary and free of charge to the patient, Stevens Eyecare Associates:

• Provides aids and services to people with disabilities to communicate effectively with them.

• Provides qualified sign language interpreters for hearing impaired patients

• Provides language services to people whose primary language is not English, such as:

○ Qualified interpreters

○ Information written in other languages

If you believe that Stevens Eyecare Associates 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:

Nathaniel Stevens, OD

205 4th Avenue

St. Albans, WV 25177

304-727-5237 (Phone)

304-727-4051 (Fax)

stevenseyecare@gmail.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Dr. Stevens 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 two ways:

  • Electronically through the Office for Civil Rights Complaint Portal, available at

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

(2) 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

Individuals with Limited English Proficiency

Information Regarding Language Assistance Services

ATTENTION: If you speak any of the following languages, language assistance services are available (free of charge) to you upon request.

1. Spanish

2. Chinese

3. French

4. German

5. Arabic

6. Vietnamese

7. Korean

8. Japanese

9. Tagalog

10. Italian

11. Thai

12. Nepali

13. Persian (Farsi)

14. Russian

15. Urdu