NOTICE INFORMING INDIVIDUALS ABOUT NON DISCRIMINATION AND ACCESSIBILITY
Requirements
Dr. Ira Shandles, Tampabay Podiatry Associates, PA
Located at 14310 N. Dale Mabry Suite 180 Tampa, Florida 33618 complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Our practice does not exclude people or treat them differently because of race, color, We, age, disability, or sex. Forever Young Aesthetics provides no-cost, aids and services to people with disabilities to communicate effectively with us such as written information in the form of large print, audio, accessible electronic formats, etc. If you believe our practice has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you an file grievance with: Civil Rights Coordinator: Cyndi Short, 14310 N. Dale Mabry Suite 180 Tampa, Florida 33618. 813-960-0115 You can file grievance in person or by mail, fax, or [email protected]. If you need help filing a grievance, our Civil Rights Coordinator is available to help you. You can also file a civil rights complain 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/civil-rights/filing-a-commmplaint/index.html
Located at 14310 N. Dale Mabry Suite 180 Tampa, Florida 33618 complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Our practice does not exclude people or treat them differently because of race, color, We, age, disability, or sex. Forever Young Aesthetics provides no-cost, aids and services to people with disabilities to communicate effectively with us such as written information in the form of large print, audio, accessible electronic formats, etc. If you believe our practice has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you an file grievance with: Civil Rights Coordinator: Cyndi Short, 14310 N. Dale Mabry Suite 180 Tampa, Florida 33618. 813-960-0115 You can file grievance in person or by mail, fax, or [email protected]. If you need help filing a grievance, our Civil Rights Coordinator is available to help you. You can also file a civil rights complain 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/civil-rights/filing-a-commmplaint/index.html