Notice of Nondiscrimination

Tri-State Orthopaedic Surgeons, Inc. (TSOS) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.

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

TSOS provides free aids and services to people with disabilities to communicate effectively with us.

TSOS provides free language services to people whose primary language is not English.

If you need these services, please contact our main office at 812-477-1558.

If you believe TSOS has failed to provide these services or discriminated in any other way on the basis of race, color, national origin, age, disability, or sex; you can file a grievance in person, via mail, fax or email to our Compliance Coordinator:

Tracy Gussler, CHC

225 Crosslake Drive

Evansville, IN 47715

P: 812-488-4639

F: 812-488-2264

tgussler@tristate-ortho.com

If you need assistance filing a grievance, our Compliance Coordinator is available to help you. You can also file a civil rights complaint with the following state and federal agencies:

Indiana Civil Rights Commission (ICRC)

Call 1-800-628-2909

File a complaint online at https://www.in.gov/icrc/

U.S. Department of Health and Human Services, Office for Civil Rights

200 Independence Avenue, S.W.

Room 509F, HHH Building

Washington, D.C. 20201

1-800-368-1019

800-537-7697 (TDD)

File a complaint online by accessing the Complaint Portal Assistant at: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf

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

 

Español (Spanish) ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-812-477-1558.

 

繁體中文(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 1-812-477-1558。

 

Deutsch (German) ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen
zur Verfügung.  Rufnummer: 1-812-477-1558.

 

Deitsch (Pennsylvania Dutch) Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-812-477-1558.

 

العربية (Arabic)

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-812-477-1558 (رقم                  هاتف الصم والبكم:.

 

(Korean) 주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  1-812-477-1558 번으로 전화해 주십시오.

 

Tiếng Vit (Vietnamese) CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-812-477-1558.

 

Français (French) ATTENTION :  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le 1-812-477-1558 .

 

日本語(Japanese) 注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-812-477-1558 まで、お電話にてご連絡ください。

 

Nederlands (Dutch) AANDACHT:  Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten.  Bel 1-812-477-1558.

 

Tagalog (Tagalog – Filipino) PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa 1-812-477-1558.

 

Русский (Russian) ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-812-477-1558.

 

ਪੰਜਾਬੀ (Punjabi) ਧਿਆਨ ਦਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਵਿੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। 1-812-477-1558 ‘ਤੇ ਕਾਲ ਕਰੋ।

 

?हंद? (Hindi) ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-812-477-1558 पर कॉल करें।