Appendix A to Part 92—Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement: Discrimination is Against the Law
Eye Centers of Florida complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Eye Centers of Florida do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Eye Centers of Florida:
If you need these services, contact the Eye Centers of Florida Call Center at 239-320-7304 when you make your appointment.
If you believe that Eye Centers of Florida 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 Eye Centers of Florida, Compliance Department 4101 Evans Ave., Fort Myers, FL 33901, telephone 239-320-7304, fax 239.335.1965, or email@example.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Eye Centers of Florida Call Center 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)