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Language Services


 

Getting Help in a Language Other Than English

SECTION 1557 OF THE AFFORDABLE CARE ACT

Nondiscrimination Languages Page 1Nondiscrimination Languages Page 2

Nondiscrimination and Accessibility Notice

SECTION 1557 OF THE AFFORDABLE CARE ACT

Policy

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

Privia Medical Group:

  • Provides aids and services at no cost 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 our Civil Rights Coordinator: Sara Juster.

If you believe that Privia Medical Group 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:

Attn: Sara Juster, Associate General Counsel
Privia Medical Group, LLC
950 N. Glebe Rd., Suite 4000,
Arlington, VA 22203
571.366.8850 ext. 5652 (TTY: 711)
Compliance@priviahealth.com

You can file a grievance in person or by mail or email. If you need help filing a grievance, Sara Juster 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, which is available at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf opens in a new window, 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. Such complaints must be filed within 180 days of the date of the alleged discrimination.

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Location

Pain, Spine, & Rehab Associates
501 North Frederick Avenue, Suite 302
Gaithersburg, MD 20877
Phone: 301-591-8261
Fax: 301-591-8262

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301-591-8261