Nondiscrimination Policy

Monticello Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Monticello Surgery Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

MONTICELLO SURGERY CENTER:

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)

Provides free language services to people whose primary language is not English, such as:

Qualified interpreters

Information written in other languages

FILING A GRIEVANCE

If you believe that Monticello Surgery Center 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:

Monticello Surgery Center
1013 Hart Boulevard, Suite 2
Monticello, MN 55632
Phone: 320-255-5989 or 320-255-5983 (TTY)
Fax: 763-271-3610
Email: WorkplaceandPatientDiversity@centracare.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Director of Workplace and Patient Diversity is available to help you.

FILING A CIVIL RIGHTS COMPLAINT

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
Phone: 1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html.

 LANGUAGE ASSISTANCE SERVICES

ATTENTION:  If you need language assistance services, they are available to you, free of charge.

Call 1-320-255-5989 (TTY: 1-320-255-5983).

1.    Somali

XUSUUSO: Haddii aad ku hadasho [af Soomaali], adeegyo kaalmo oo dhanka luqadda, oo bilaash ah, ayaad helaysaa.  Soo wac 1-320-255-5989 (Qatka Dhegoolayaasha: 1-320-255-5983).

2.    Spanish

ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-320-255-5989 (TTY: 1-320-255-5983).

 3.    Laotian

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-320-255-5989 (TTY: 1-320-255-5983).

 4.    Oromo

XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama.  Bilbilaa 1-320-255-5989 (TTY: 1-320-255-5983).

 5.    Nuer

LIŊ NƐƐMƐƐ: Mi̱ ruaci̱ kɛ thok naath, tin lua̱k kɛ ni̱ naath kɛ kui̱c thuɔk, jiëk kɛ kɛɛ lɔrä, kä tëë kɛ wanɛmɛ kɛ ji̱i̱. Cɔl 1-320-255-5989 (TTY: 1-320-255-5983).

6.    French

ATTENTION :  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le 1-320-255-5989 (ATS : 1-320-255-5983).

 7.    Vietnamese

CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-320-255-5989 (TTY: 1-320-255-5983).

8.    Chinese

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 1-320-255-5989TTY:1-320-255-5983

9.    Amharic

ማስታወሻ:  የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-320-255-5989 (መስማት ለተሳናቸው: 1-320-255-5983).

10. Arabic

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.

اتصل برقم 1-1-320-255-5989 (رقم هاتف الصم والبكم: 1-1-320-255-5983).

11. Cambodian

ប្រយ័ត្ន៖  បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។  ចូរ ទូរស័ព្ទ 1-320-255-5989 (TTY: 1-320-255-5983)។

12. Swahili

KUMBUKA: Ikiwa unazungumza Kiswahili, unaweza kupata, huduma za lugha, bila malipo.  Piga simu 1-320-255-5989 (TTY: 1-320-255-5983).

13. Hindi

ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-320-255-5989 (TTY: 1-320-255-5983) पर कॉल करें।

14. Urdu

خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں -1-320-255-5989  (TTY: 1-320-255-5983).

15. Thai

เรียน:  ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี  โทร 1-320-255-5989 (TTY: 1-320-255-5983).

16. Karen

Karen language

1-320-255-5989 (TTY: 1-320-255-5983).