Non-Discrimination Notice

MONMOUTH GASTROENTEROLOGY
A DIVISION OF ALLIED DIGESTIVE HEALTH, LLC.

TIN #46-3915494 - NPI #1265831259

1912 Route 35 South, Suite 201
Oakhurst, NJ 07755
(732) 389-5004

Nondiscrimination Notice: Discrimination is Against the Law

Monmouth Gastroenterology, a Division of Allied Digestive Health, complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Allied Digestive Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Allied Digestive Health:

  • 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, contact Shary Cohen, Civil Rights Coordinator at 732-222-3805 x1502.

If you believe that Allied Digestive Health 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: Shary Cohen, Civil Rights Coordinator, 732-222-3805 x1502, 60 Route 36, Suite B, West Long Branch, NJ 07746. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Shary Cohen 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.

11/27/17

MONMOUTH GASTROENTEROLOGY
A DIVISION OF ALLIED DIGESTIVE HEALTH, LLC.

TIN #46-3915494 - NPI #1265831259

1912 Route 35 South, Suite 201, Oakhurst, NJ 07755 - (732) 389-5004

Monmouth Gastroenterology, a division of Allied Digestive Health, complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Please see our Notice of Non-Discrimination for more information. 732-222-3805.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame 732-222-3805

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 732-222-3805.

CHÚ Ý: Nếu bạn nói Tiếng Việt, 000-000-0000 các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 732-222-3805.

.주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.
번으로 전화해 주십시오732-222-3805.

.PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 732-222-3805.

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 732-222-3805.

ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 732-222-3805.

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 732-222-3805.

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 732-222-3805.

ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 732-222-3805.

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 732-222-3805.

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。732-222-3805
まで、お電話にてご連絡ください。

توجھ: اگر بھ زبان فارسی گفتگو می کنید، تسھیلات زبانی بصورت رایگان برای شما فراھم می باشد. با تماس بگیرید. 732-222-3805. فراھم می باشد. با تماس بگیرید.
رقم ) 732-222-3805- ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم. 732-222-3805ھاتف الصم والبكم:

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 732-222-3805.

11/27/17