Notice of Non-Discrimination

NOTICE OF NON-DISCRIMINATION FOR A MEDICAL PRACTICE

WITH 15 OR MORE EMPLOYEES

DELPHI COMPLIES WITH APPLICABLE FEDERAL CIVIL RIGHTS LAWS AND DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGINAL, AGE, DISABILITY OR SEX.  DELPHI DOES NOT EXCLUDE PEOPLE OF TREAT THEM DIFFERENTLY BECAUSE OF RACE, COLOR, NATIONAL ORIGINAL, AGE, DISABILITY, OR SEX.

DELPHI:

  • 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, OTHER FORMATS)
  • PROVIDES FREE LANGUAGE SERVICES TO PEOPLE WHOSE PRIMARY LANAGUAGE IS NOT ENGLISH, SUCH AS:
    • QUALIFIED INTERPRETERS
    • INFORMATION WRITTEN IN OTHER LANGUAGES

IF YOU NEED THESE SERVICES, CONTACT 585-467-2230 X435.  IF YOU BELIEVE DELPHI HAS FAILED TO PROVIDE THESE SERVICES OR DISCRIMINATED IN ANOTHER WAY ON BASIS OF RACE, COLOR , NATIONAL ORIGIN, AGE, DISABILITY, OR SEX, YOU CAN FILE A GRIEVANCE WITH :  CARL HATCH-FEIR, PRESIDENT/CEO, 585-467-2230 X435, EMAIL CHATCH-FEIR@DELPHIDRUG.ORG; FAX 585-625-3558 OR ANN M. GRAHAM, DIRECTOR OF OPERATIONS AND CARE SERVICES, 585-467-2230 X301, EMAIL AGRAHAM@DELPHIDRUG.ORG, FAX 585-625-3558, OR BY U.S. MAIL TO: DELPHI DRUG AND ALCOHOL COUNCIL, INC., 1839 EAST RIDGE ROAD, ROCHESTER, NY  14622.

YOU CAN FIELD A GRIEVANCE IN PERSON OR BY MAIL, FAX OR EMAIL.  IF YOU NEED HEP FILING A GRIEVANCE, A STAFF PERSON 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 OF CIVIL RIGHTS COMPLAINT PORTAL, AVAILABLE AT HTTPS:/OCRPORTAL.HHS.GOV/OCR/PORTAL/LOBBY/JSF. OR BY MAIL OR PHONE:

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

200 INDEPENDENCE AVENUE, SW

ROOM 509F, HHH BUILDING

WASHINGTON, D.C. 20201

1-800-368-1019, 1-800-537-7697 (TDD)

COMPLAINT FORM ARE AVAILABLE AT HTTP://WWW.HHS.GOV/OCR/OFFICE/FILE/INDEX.HTML

 

 LANGUAGE ASSISTANCE SERVICES

Updated October 14, 2016

ATTENTION: If you speak any of the following languages, language assistance services, free of charge, are available to you. Call 1-585-467-2230. 

[SPANISH] ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-xxx-xxx-xxxx (TTY: 1-xxx-xxx-xxxx). 

[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-xxx-xxx-xxxx(TTY:1-xxx-xxx-xxxx) 

[RUSSIAN] ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-xxx-xxx-xxxx (телетайп: 1-xxx-xxx-xxxx). 

[FRENCH CREOLE] ATANSYON:  Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.  Rele 1-xxx-xxx-xxxx (TTY: 1-xxx-xxx-xxxx). 

[KOREAN] 주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  1-xxx-xxx-xxxx (TTY: 1-xxx-xxx-xxxx)번으로 전화해 주십시오. 

[ITALIAN] ATTENZIONE:  In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti.  Chiamare il numero 1-xxx-xxx-xxxx (TTY: 1-xxx-xxx-xxxx). 

[YIDDISH]

אויפמערקזאם: אויב איר רעדט אידיש, זענען פארהאן פאר אייך שפראך הילף סערוויסעס פריי פון אפצאל. רופט 1-xxx-xxx-xxxx (TTY: 1-xxx-xxx-xxxx).

[BENGALI]

লক্ষ্য করুনঃ যদি আপনি বাংলা, কথা বলতে পারেন, তাহলে নিঃখরচায় ভাষা সহায়তা পরিষেবা উপলব্ধ আছে। ফোন করুন ১-xxx-xxx-xxxx (TTY: ১-xxx-xxx-xxxx) 

[POLISH] UWAGA:  Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.  Zadzwoń pod numer 1-xxx-xxx-xxxx (TTY: 1-xxx-xxx-xxxx). 

[ARABIC]

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

[FRENCH] ATTENTION :  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le 1-xxx-xxx-xxxx (ATS : 1-xxx-xxx-xxxx). 

[URDU]

خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں 1-xxx-xxx-xxxx  (TTY: 1-xxx-xxx-xxxx).

[TAGALOG] PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa 1-xxx-xxx-xxxx (TTY: 1-xxx-xxx-xxxx). 

[GREEK]  ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 1-xxx-xxx-xxxx (TTY: 1-xxx-xxx-xxxx). 

[ALBANIAN] KUJDES:  Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë.  Telefononi në 1-xxx-xxx-xxxx (TTY: 1-xxx-xxx-xxxx).