NON-DISCRIMINATION NOTICE

Advanced Spine and Posture does not discriminate on the basis of race color religion (creed) gender gender expression age national origin (ancestry) disability marital status sexual orientation or military status in any of its activities or operations We are committed to providing an inclusive and welcoming environment for all clients staff and visitors Advanced Spine and Posture will provide reasonable accessibility and other accommodations to individuals with disabilities andor communication limitations as required by law Facility Access All Advanced Spine and Posture facilities are wheelchair accessible and designed with open floor plans to facilitate full-time supervision Team members are trained and available to provide additional support such as escorting patients to and from their car holding doors open sitting knee-to-knee and helping patients to complete in-office forms and making phone calls to coordinate outside care or arrangements Language Accommodations Spanish-language forms and Spanish-speaking employees are available at every Advanced Spine and Posture location Other translation needs or requests will be addressed on a case-by-case basis utilizing telephonic translation services if necessary A Language Identification Guide is available to assist individuals with limited English proficiency Disability Accommodations Hearing Impairment All healthcare findings treatment plans financial information and recommendations are provided in writing Written communication andor non-verbal communication is utilized on the treatment floor If necessary in-person or video ASL interpretation can be arranged upon request Email communication is available at frontdeskspineandposturecom Visual Impairment Large-print copies of documents are available andor documents are read aloud Patients are provided any necessary personal assistance in navigating the clinic and utilizing equipment Other accommodation needs or requests will be addressed on a case-by-case basis

Assistance Requests and Comments Please contact Advanced Spine and Posture with any accessibility or accommodation requests or comments at

Dr John Brown Chiropractic Director Tel 702-396-4993 FAX 702-636-4990 Email drjohnspineandposturecom 6592 N Decatur Blvd Ste 115 Las Vegas BV 89131

Complaints may also be filed with the US Department of Health and Human Services Office for Civil Rights via the OCR Complaint Portal httpsocrportalhhsgovocrsmartscreenmainjsf or by using the following contact information

Email OCRComplainthhsgov or ocrmailhhsgov Centralized Case Management Operations US Department of Health and Human Services 200 Independence Avenue SW Room 509F HHH Bldg Washington DC 20201 Voice Phone (800) 368-1019 FAX (202) 619-3818 TDD (800) 537-7697

Assistance Requests and Comments Please contact Advanced Spine and Posture with any accessibility or accommodation requests or comments at

Dr John Brown Chiropractic Director Tel 702-396-4993 FAX 702-636-4990 Email drjohnspineandposturecom 6592 N Decatur Blvd Ste 115 Las Vegas BV 89131

Complaints may also be filed with the US Department of Health and Human Services Office for Civil Rights via the OCR Complaint Portal httpsocrportalhhsgovocrsmartscreenmainjsf or by using the following contact information

Email OCRComplainthhsgov or ocrmailhhsgov Centralized Case Management Operations US Department of Health and Human Services 200 Independence Avenue SW Room 509F HHH Bldg Washington DC 20201 Voice Phone (800) 368-1019 FAX (202) 619-3818 TDD (800) 537-7697

Language Identification Guide

A Amharic

Arabic

S

Version 12 July 2011

Armenian

B Bengali

Bosnian Ja govorim bosanski

Bulgarian Аз говоря български Burmese

C Cambodian

Cantonese

(Traditional)

(Simplified)

Catalan Parlo catalagrave

Croatian Govorim hrvatski

Czech Mluviacutem česky

D Danish Jeg taler dansk

Dari

Dutch Ik spreek het Nederlands

E

Estonian Ma raagin eesti keelt

F Finnish Puhun suomea French Je parle franccedilais

G German Ich spreche Deutsch Greek Μιλώ τα ελληνικά Gujarati

H Haitian Creole M pale kreyogravel ayisyen

Hebrew

Hindi

Hmong Kuv has lug Moob Hungarian Beszeacutelek magyarul

IIcelandic Eacuteg tala iacuteslensku

Ilocano Agsaonak ti Ilokano

Indonesian saya bisa berbahasa Indonesia

Italian Parlo italiano

J

Japanese

K KackchiquelQuin cha guumlic k aacute chaacute ba l ruin riacute

Korean

Kurdish man Kurdii zaanim Kurmanci man Kurmaanjii zaanim

L Laotian

Latvian Es runacircju latviski Lithuanian Aeth kalbu lietuviškai

M Mam Baacuten chiyola tuj kiacuteyol mam

Mandarin (Traditional)

(Simplified)

Mon

N Norwegian Jeg snakker norsk

P Persian

Polish Moacutewię po polskuPortuguese Eu falo portuguecircs do Brasil (for Brazil)

Eu falo portuguecircs de Portugal (for Portugal)

Punjabi

Q

Qanjobal Ayin tiacute chiacute wal q΄ anjob΄ al Quiche In kinchacuteaw kacuteuin chacutee quiche

R Romanian Vorbesc romacircneşte Russian

S

Serbian

ign Language

Slovak Hovoriacutem po slovensky

Slovenian Govorim slovensko Somali Waxaan ku hadlaa af-Soomaali Spanish Yo hablo espantildeol Swahili Ninaongea Kiswahili Swedish Jag talar svenska

T Tagalog Marunong akong mag-Tagalog Tamil

Thai

Turkish Tuumlrkccedile konuşurum

U Ukrainian Я розмовляю українською мовою Urdu

V Vietnamese Tocirci noacutei tiecircng Việt

W Welsh Dwirsquon siarad

X Xhosa Ndithetha isiXhosa

Y

Yiddish

Yoruba Mo nso Yooba

Z

ulu Ngiyasikhuluma isiZulu

Executive Order 13166 requires DHS to take reasonable steps to provide meaningful access to its programs and activities for persons with limited English proficiency and - as also required by Title VI of the Civil Rights Act of 1964 - to ensure that recipients of federal financial assistance do the same

ZI Speak is provided by the Department of Homeland Security Office for Civil Rights and Civil Liberties (CRCL) Other resources at wwwlepgov

Contact the DHS Office for Civil Rights and Civil Libertiesrsquo CRCL Institute at CRCLTrainingdhsgov for digital copies of this poster or a ldquoI Speakrdquo booklet

Download copies of the DHS LEP plan and guidance to recipients of financial assistance at wwwdhsgovcrcl