Nondiscrimination Notice

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

English ATTENTION:  If you speak another language, language assistance services, free of charge, are available to you.  Call 972-395-0440.
Spanish ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 972-395-0440.
Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 972-395-0440.
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972-395-0440
Korean 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 있습니다. 972-395-0440. 번으로 전화해 주십시오.
Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 972-395-0440.
Amharic ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 972-395-0440 (መስማት ለተሳናቸው:.
Arabic ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم  (رقم هاتف الصم والبكم: 972-395-0440).
German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 972-395-0440.
French ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 972-395-0440.
Nepali ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध फोन गर्नुहोस् 972-395-0440
Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 972-395-0440.
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。972-395-0440まで、お電話にてご連絡ください。
Cushite XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 972-395-0440.
Farsi توجه: اگر به زبان فارسی صحبت می کنید، خدمات زبانی رایگان به شما ارایه میگردد، با شماره

972-395-0440.

Kru Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m̀ [Ɓàsɔ́ɔ̀-wùɖù-po-nyɔ̀] jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ̀ ɓɛ́ìn m̀ gbo kpáa. Ɖá 972-395-0440. 
Ibo Ntị: Ọ bụrụ na asụ Ibo, asụsụ aka ọasụ n’efu, defu, aka. Call 972-395-0440.
Yoruba AKIYESI: Bi o ba nsọ èdè Yorùbú ọfé ni iranlọwọ lori èdè wa fun yin o. Ẹ pe ẹrọ-ibanisọrọ yi 972-395-0440.

Our mission is to treat each patient and their family as if they were our own. Each patient, each family, each and every time.