Take Shape Surgery Center L.L.C. complies with applicable Federal civil rights laws & does not discriminate on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression. Take Shape Surgery Center L.L.C. does not exclude people or treat them differently because of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression. Our health plans are also subject to the section 1557 nondiscrimination requirements and will be operated accordingly.
Take Shape Surgery Center L.L.C.
Provides free auxiliary aids and services to people with disabilities to communicate effectively with us, such as:
Qualified sign language interpreters for hearing impaired individuals.
Written information in multiple formats including large print, audio, accessible electronic formats, or other formats for visually impaired individuals.
Provides free language services to people whose primary language is not English, such as:
Qualified interpreters or a language line
Information written in other languages
If you need these services, contact:
Hearing Impaired Line – TTY 1-800-955-8771
Language bank (language line solutions) – 1-800-367-9559
If you believe that Take Shape Surgery Center L.L.C. has failed to provide these services or discriminate in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with:
You can file a grievance in person or by email, fax or mail. If you need help filling a grievance, Take Shape Surgery Center L.L.C.
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 http://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