Nondiscrimination Notice

Baylor Scott & White Surgicare Carrollton complies with applicable Federal civil rights laws and does not discriminate on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity or expression. Baylor Scott & White Surgicare Carrollton does not exclude people or treat them differently because of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity or expression.

Baylor Scott & White Surgicare Carrollton:

• Provides free auxiliary aids and services to people with disabilities to communicate effectively with us, such as:

• qualified sign language interpreters, video remote interpreting or other aids
  for hearing impaired individuals.
• written information in multiple formats including large print, audio, accessible electronic formats, or other formats for visually impaired individuals.

• Provides reasonable accommodations to people with known disabilities to enable them to utilize our facilities and services.
• Provides free language services to people whose primary language is not English, such as:
  • qualified interpreters or a language line
  • information written in other languages.

If you need these services, contact Baylor Scott & White Surgicare Carrollton’s ADA Coordinator in advance of your visit at 972-395-0440.

If you believe that Baylor Scott & White Surgicare Carrollton 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:

ADA Coordinator

Baylor Scott & White Surgicare Carrollton

4780 North Josey Lane

Carrollton, TX 75010

Phone: 972-395-0440 Fax: 972-242-9863 Email: ashodi@uspi.com

You can file a grievance in person or by mail, fax or email.  If you need help filing a grievance, Baylor Scott & White Surgicare Carrollton’s ADA Coordinator 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