Affordable Care Act Information

Blue Water Oral & Facial Surgery complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Blue Water Oral & Facial Surgery does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Blue Water Oral & Facial Surgery:

• 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 language is not English, such as:

○ Qualified interpreters

○ Information written in other languages

 If you need these services, contact the Practice Administrator

 If you believe that Blue Water Oral & Facial Surgery 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: Practice Administrator, 1000 East First Street, Suite 108, Duluth, MN  55805 ph-218-722-1854, fax-218-722-6424.

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)

ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-218-722-1854.

LUS CEEV:  Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj.    Hu rau 1-218-722-1854.

ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: 1-218-722-1854.

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 1-218-722-1854.

CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-218-722-1854.

ATTENTION :  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le 1-218-722-1854.

ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-218-722-1854.

ໂປດ​ຊາບ: ຖ້າ​ວ່າທ່ານ​ເວົ້າ​ພາ​ສາລາວ, ການ​ບໍ​ລິ​ການ​ຊ່ວຍ​ເຫຼືອ​ດ້ານ​ພາ​ສາ, ໂດຍບໍ່​ເສັຽ​ຄ່າ, ແມ່ນມີ​ພ້ອມໃຫ້​ທ່ານ. ໂທ​ຣ1-218-722-1854.

MERK:  Hvis du snakker norsk, er gratis språkassistansetjenester tilgjengelige for deg.  Ring 1-218-722-1854.

ប្រយ័ត្ន៖  បើសិនជាអ្នកនិយាយភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។  ចូរ ទូរស័ព្ទ 1-218-722-1854។

ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-218-722-1854 पर कॉल करें।

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-218-722-1854.