Notice of Non-Discrimination

Discrimination is Against the Law

 

Please download our Non-Discrimination Notice here.

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Dvorak Eye Clinic complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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Dvorak Eye Clinic does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

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Dvorak Eye Clinic:

• 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)

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

  • Qualified interpreters
     

If you need these services, please contact our scheduling department.

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If you believe that Dvorak Eye Clinic has failed to provide these services or has discriminated in any other way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Irene Berg, 1311 2nd Street N; Suite 105, (320) 774-3666 or iberg@dvorakeyeclinic.com

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You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Irene Berg 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 or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue SW., Room 509F,
HHH Building, Washington, DC 20201
1-800-868-1019, 800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Source: HHS Office for Civil Rights

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LANGUAGE ASSISTANCE SERVICES are available to you at Dvorak Eye Clinic free of charge.

To obtain services, call (320) 774-3666.

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1.    Somali

XUSUUSO: Haddii aad ku hadasho [af Soomaali], adeegyo kaalmo oo dhanka luqadda, oo bilaash ah, ayaad helaysaa.  Soo wac1-320-774-3666 (Qatka Dhegoolayaasha TTY:1-320-774-3666).

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 2.    Spanish

ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-320-774-3666 (TTY: 1-320-774-3666).

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 3.    Laotian

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-320-774-3666 (TTY: 1-320-774-3666).

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 4.    Oromo

XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama.  Bilbilaa 1-320-774-3666 (TTY: 1-320-774-3666).

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 5.    Nuer

LIŊ NƐƐMƐƐ: Mi̱ ruaci̱ kɛ thok naath, tin lua̱k kɛ ni̱ naath kɛ kui̱c thuɔk, jiëk kɛ kɛɛ lɔrä, kä tëë kɛ wanɛmɛ kɛ ji̱i̱. Cɔl 1-320-774-3666 (TTY: 1-320-774-3666).

 6.    French

ATTENTION :  Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement.  Appelez le 1-320-774-3666 (ATS : 1-320-774-3666).

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 7.    Vietnamese

CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-320-774-3666 (TTY: 1-320-774-3666).

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 8.    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 1-320-774-3666

TTY：1-320-774-3666.

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 9.    Amharic

ማስታወሻ:  የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-320-774-3666

 (መስማት ለተሳናቸው:TTY:(1-320-774-3666).

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 10. Arabic

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.

  اتصل برقم 1-1-320-774-3666 (رقم هاتف الصم والبكم: 1-320-774-3666).

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11. Cambodian

ប្រយ័ត្ន៖  បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។  ចូរ ទូរស័ព្ទ

1-320-774-3666 (TTY: 1-320-774-3666).

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12. Swahili

KUMBUKA: Ikiwa unazungumza Kiswahili, unaweza kupata, huduma za lugha, bila malipo.  Piga simu 1-320-774-3666 (TTY: 1-320-774-3666).

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13. Hindi

ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं

1-320-774-3666 (TTY: 1-320-774-3666) पर कॉल करें।

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14. Urdu

خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں

1-320-774-3666  (TTY: 1-320-774-3666).

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15. Thai

เรียน:  ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี  โทร

1-320-774-3666 (TTY: 1-320-774-3666).

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16. Karen

  1-320-774-3666 (TTY: 1-320-774-3660).

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