Notice of Nondiscrimination

Notice lnforming lndividuals about Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement:

Discrimination is Against the Law

Collier Skin Cancer Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Collier Skin Cancer Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Collier Skin Cancer Center:

• Provides free aids and services to people with disabilities to communicate effectively with us.
• Provides free language services to people whose primary language is not English.

lf you need these services, contact Lesa Phillips, or Office Manager of Collier Skin Cancer Center at the time of need.

lf you believe that Collier Skin Cancer Center 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:

Lesa Phillips, (Or Office Manager of Collier Skin Cancer Center at the time of grievance)
3030 NW 149th Street, OKC, OK, 73134
Phone: 405-562-8850 | Fax: 405-562-5550

You can file a grievance in person or by mail, fax, or email. lf you need help filing a grievance, Lesa Phillips, (Or Office Manager of Collier Skin Cancer Center at the time of grievance) 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.jsl, or by mail or phone at:

U.S. Department of Health and Human Services
200 lndependence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7597 (TDD)

Complaint forms are available at http://www.hhs.eov/ocr/filing-with-ocr/index.html