If you speak English and are hearing impaired, language assistance services, free of charge, are available to you. Deaf Community Advocacy Network: (248) 332-3323.

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

Sequoia Surgical Pavilion:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
  1. Qualified sign language interpreters.
  2. 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:
  1. Qualified interpreters.
  2. Information written in other languages.

If you need these services, please call the Director of Nursing at (925) 280-3853.

If you believe that Sequoia Surgical Pavilion 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:

Sequoia Surgical Pavilion
Attn: Director of Nursing
2405 Shadelands Drive, Suite# 200
Walnut Creek California, 94598
Phone: (925) 280-3853
Fax: (925) 935-6690
TDD: Deaf Community Advocacy Network: (248) 332-3323
Email: amorales@nshinc.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Director of Nursing 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 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.