Fox Valley Plastic Surgery SC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Fox Valley Plastic Surgery does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Fox Valley Plastic Surgery will provide free aids and services to people with disabilities to communicate effectively with us such as qualified sign language interpreters or written information in other formats such as large print, accessible electronic formats, or audio. Fox Valley Plastic Surgery will provide free language services to people whose primary language is not English, such as qualified interpreters or information written in other languages. If you need these services, contact Dianne Thompson.
If you believe that Fox Valley Plastic Surgery SC 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 in person or by mail, fax or email to: Dianne Thompson, Administrator, Fox Valley Plastic Surgery SC, 2400 Witzel Avenue, Suite A, Oshkosh, WI 54904, 920-233-1540 (Phone), 920-651-6951 (Fax), email@example.com (Email).
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
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.