Urologic Specialists of Northwest Indiana:
Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services 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 assistance services to people whose primary language is not English, which may include:
Qualified interpreters
Information written in other languages.
If you need these services, please contact the Office Manager at 219-769-8641.
If you believe that Urologic Specialists of Northwest Indiana 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:
Solaris Health 1557 Coordinator
2101 W. Commercial Blvd., Ste 3500
Fort Lauderdale, FL 33309
Telephone: (954) 256-5524
Fax: (954) 678-4376
Email: compliance@solarishp.com
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Solaris Health 1557 Coordinator 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.
This notice is available at Urologic Specialists of Northwest Indiana website: https://urologic-specialists.com
