Notice of Nondiscrimination

Alpine Foot & Ankle Clinic complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Alpine Foot & Ankle Clinic does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Alpine Foot & Ankle Clinic 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)

Alpine Foot & Ankle Clinic provides free language services to people whose primary language is not English, such as information written in other languages. If you need these services, contact Alpine Foot & Ankle Clinic’s Compliance Officer.

If you believe that Alpine Foot & Ankle Clinic 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:

  • Alpine Foot & Ankle Clinic’s Compliance Officer: Krista Neibauer
  • Mailing Address: 1845 Bancroft St, Missoula, MT 59801
  • Telephone number: (406) 721-4007
  • Fax: (406) 549-9807
  • Email: kneibauer@alpinefoot.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Alpine Foot & Ankle Clinic’s Compliance Officer 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.

 

ATTENTION:  If you speak English, language assistance services, free of charge, are available to you.  Call 1-406-721-4007

 

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al

1-406-721-4007

 

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 1-406-721-4007

 

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。1-406-721-4007

まで、お電話にてご連絡ください。

 

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa

1-406-721-4007

 

ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-406-721-4007

 

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-406-721-4007

 

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.

1-406-721-4007 번으로 전화해 주십시오.

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برق.1-406-829-5564 ھاتف الصم والبكم: 

เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-406-829-5564

 

MERK: Hvis du snakker norsk, er gratis språkassistansetjenester tilgjengelige for deg. Ring 1-406-721-4007

 

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

1-406-721-4007

 

УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-xxx-xxx-xxxx (телетайп: 1-406-721-4007

 

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: 1-406-721-4007

 

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero

1-406-721-4007

 

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-406-721-4007

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