Statement of Non-Discrimination
Discrimination is against the law.
Carolina Orthopaedic & Sports Medicine Center, PA (“COSMC”) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. COSMC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
COSMC provides free language services to people whose primary language is not English
If you need these services, contact COSMC’s Compliance Officer.
If you believe that COSMC 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:
· COSMC’s Compliance Officer: Business Operations Manager
· Mailing Address: 2345 Court Drive
· Telephone number: (704) 865-0077
· Fax: (704) 867-6401
· Email: email@example.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, COSMC’s Compliance Officer 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.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/ocr/office/file/index.html.