Discrimination is Against the Law Exclusively Eyecare complies with applicable Federalcivil rights laws and does not discriminate on the basis of race,color, national origin, age,disability, or sex. Exclusively Eyecare does not exclude people or treat them differently because of race, color,national origin,age, disability,or sex.
Bellevue Vision Clinic, P.C.:
• Provides free aids and services to people with disabilities to communicate effectively with us,
o instant audio and visual translation application
o 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:
o Translation applications
o Information written in other languages If you need these services, contact Lisa Yeater If you believe that Exclusively Eyecare 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: Lisa Yeater
1119 Wilshire Drive
Bellevue, NE 68005-3680 402-291-6133
(P), 402-291-3804 (F), firstname.lastname@example.org
You can file a grievance in person or by mail,fax,or email. If you need help filing a grievance, lisa Yeater 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.
202011-800-368-1019, 800-537-7697 (TOO) Complaint forms are available at http:Uwww.hhs.gov/ocr/office/file/index.html