Florida Lung & Sleep Associates (FLSA) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. FLSA does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

FLSA provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters or written information in other formats. FLSA also provides free language services to people whose primary language is not English, such as qualified interpreters or information written in other languages. If you need these services, you may request them from any of our registration or patient care personnel.

If you believe that FLSA 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:
Compliance Officer
2625 Lee Blvd., Suite 100, Lehigh Acres, FL 33971
Phone: (239) 369-3333
Fax: (239) 369-4837
Email: Info@FloridaLung.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the 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

Español (Spanish):

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-239-369-3333

Kreyòl Ayisyen (French Creole):

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-239-369-3333

Tiếng Việt (Vietnamese):

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-239-369-3333

Português (Portuguese):

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para
1-239-369-3333

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 1-239-369-3333

Français (French):

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés
gratuitement. Appelez le 1-239-369-3333

Tagalog (Tagalog – Filipino):

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong
sa wika nang walang bayad. Tumawag sa 1-239-369-3333

العربية (Arabic):

ملحوظة: إذا كنت تتحدث اللغة العربية، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-239-369-3333

Русский (Russian):

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги
перевода. Звоните 1-239-369-3333

Italiano (Italian):

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza
linguistic gratuiti. Chiamare il numero 1-239-369-3333

Deutsch (German):

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche
Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-239-369-3333

한국어 (Korean):

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-239-369-3333

Polski (Polish):

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.
Zadzwoń pod numer 1-239-369-3333

ગજરાતી ુ (Gujarati):

�ચુના: જો તમે�જરાતી બોલતા હો, તો િન:�લ્કુભાષા સહાય સેવાઓ તમારા માટ�ઉપલબ્ધ છ.
ફોન કરો 1-239-369-3333

ภาษาไทย (Thai):

เรยนี : ถาค้ ณพุ ดภาษาไทยค ู ณสามารถใช ุ บร้ การช ิ วยเหล ่ อื ทางภาษาไดฟร้ ีโทร 1-239-369-3333

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