OCR NOTICE OF NONDISCRIMINATION

Green Hills Eyecare complies with applicable Federal civil rights laws and does not discriminate on the basis of

race, color, national origin, age, disability, or sex. Green Hills Eyecare does not exclude people or treat them

differently because of race, color, national origin, age, disability, or sex. Green Hills Eyecare: 1. Provides free aids

and services to people with disabilities to communicate effectively with us, such as qualified sign language

interpreters and written information in other formats (large print, audio, accessible electronic formats) 2. 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 Dr. Jessica Durham. If you believe that Green Hills 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: Dr. Jessica Durham, 4301 Hillsboro Pike, Suite 330, Nashville, TN 37215. P: 615-297-

7547 F:615-297- 7576 You can file a grievance in person or by mail, fax, or email. If

you need help filing a grievance, Dr. Jessica Durham 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 or by mail or

phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW. Room 509F, HHH

Building Washington, DC 20201 Toll Free: 1-800- 868-1019, 800-537- 7697 (TDD). Complaint forms are available at

INTERPRETER SERVICES

Green Hills Eyecare has arranged for language assistance services, free of charge. Call 615-297- 7547. If you speak

English, language assistance services, free of charge, are available to you.

Si usted habla español, tiene a su disposición servicios de asistencia con el idioma sin costo alguno.

ا.ًإذا كنت تتحدث العربية، فستتوفر لك خدمات المساعدة اللغوية مجان

如果您讲汉语普通话，则可以免费向您提供语言协助服务。

Chúng tôi cung cấp dịch vụ hỗ trợ ngôn ngữ miễn phí cho quý vị, nếu quý vị nói tiếng Việt.

모국어가 한국어일 경우 무료 언어지원 서비스가 제공됩니다.

Si votre langue est le français, des services d’assistance linguistiques sont mis gratuitement à votre disposition.

ຖາ້ທ່ານເວົ້າ ພາສາລາວ ແມ່ນມີບໍລິການຊ່ວຍເຫຼືອພາສາຟຣີໃຫແ້ກ່ທ່ານ.

አማርኛ የሚናገሩ ከሆነ፣ የቋንቋ ዕርዳታ አገልግሎቶችን፣ በነጻ ያገኛሉ።

Wenn Sie deutsch sprechen, stehen Ihnen kostenlos Sprachhilfen zur Verfügung.

તમે ગુજરાતી બોલતા હો, તો વિના મૂલ્ે, ભાષા સહા્ સેિાઓ તમને ઉપલબ્ધ છે.

日本語を話される場合には、無償の言語支援サービスがご利用いただけます。

Kung nagsasalita ka ng Tagalog, may magagamit kang mga serbisyo sa lengguahe na walang bayad.

अगर आप हिन्दी बोलते ि ैंतो भाषा सिायता सेवा हिःशुल्क उपलब्ध ि।ै

Если ваш язык — русский, то вам могут быть предоставлены бесплатные услуги переводчика.

اگر شما به فارسی صحبت ميکنيد، خدمات کمکهای زبان بطور رايگان در دسترس شما می باشند.