QuickVisit Urgent Care complies with applicable Federal civil rights laws, do not exclude, deny benefits to, or otherwise discriminate against any person on the basis of race, color, creed, religion, sex, marital status, sexual orientation, gender identity or expression, veteran status, status with regard to public assistance, national origin, disability, or age in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by QuickVisit Urgent Care directly or through a contractor or any other entity with which QuickVisit Urgent Care arranges to carry out its programs and activities.

 

This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 1557 of the Affordable Care Act, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U. S. Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of Federal Regulations Parts 80, 84, 91. 

 

QuickVisit Urgent Care:

• 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

 

If you need these services, please let the front desk know.

 

If you believe that QuickVisit Urgent Care 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:

 

Jessica Columbia

Privacy Officer

1600 US Hwy 79 S, Henderson, TX 75654 

903-717-3260 

Bonnie.Butler@quickvisituc.com.  

 

You can file a grievance in person or by mail, fax, or email. If you need assistance filing a grievance, call our Privacy Officer at 90-717-3260, and let us help you. However, if you feel you need additional support, you can 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, DC 20201

800-368-1019 or 800-537-7697 (TDD).

 

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

 

 

 

LANGUAGE ASSISTANCE SERVICES

Spanish:

ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-844-599-5663.

 

Vietnamese:

CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-844-599-5663.

 

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 1-844-599-5663.

 

Korean:

주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  1-844-599-5663. 번으로 전화해 주십시오.

 

Arabic:

ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-1-844-599-5663..

 

Urdu:

خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں1-1-844-599-5663. 

 

Tagalog:

PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-844-599-5663.

 

French:

ATTENTION :  Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement.  Appelez le 1-844-599-5663.

 

Hindi:

ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-844-599-5663. पर कॉल करें।

 

Persian (Farsi):

توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با 1-1-844-599-5663. تماس بگیرید.

 

German:

ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: 1-844-599-5663.

 

Gujarati:

સુચના: જો તમેગુજરાતી બોલતા હો, તો નન:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટેઉપલબ્ધ છે. ફોન કરો 1-844-599-5663.

 

Russian:

ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-844-599-5663.

 

Japanese:

注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-844-599-5663. まで、お電話にてご連絡ください。

 

Laotian:

ໂປດ ຊາບ: ຖ້າ ວ່າ ທ່ານ ເວົ້າ ພາ ສາ ລາວ, ການ ບໍ ລິ ການ ຊ່ວຍ ເຫຼືອ ດ້ານ ພາ ສາ, ໂດຍບໍ່ ເສັຽ ຄ່າ, ແມ່ນມີ ພ້ອມໃຫ້ ທ່ານ. ໂທ ຣ 1-844-599-5663.