For more information about this notice or to file a complaint contact us:
Effective Date: 9/22/2016
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The Oregon Anesthesiology Group, P.C. (“OAG”) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
OAG does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
If you need these services, contact Cate Gomez, Senior Compliance Analyst & Privacy Officer at (503) 299-9906.
If you believe that OAG 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:
Cate Gomez, Compliance and Privacy Program Manager & Privacy Officer
707 SW Washington St., Suite 700
Portland, OR 97205
Phone (503) 299-9906
Fax (503) 295-2232
You can file a grievance in-person or by mail, fax, or email. If you need help filing a grievance, Cate Gomez, Compliance and Privacy Program Manager 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
1-800-868-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
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