Orthopedic Center of Illinois, Ltd., OCI Therapy and OCI Imaging

Discrimination is against the law.  Orthopedic Center of Illinois complies with applicable Federal civil rights laws and does not discriminate on the basis of race,
color, national origin, age, disability, or sex. Children’s Orthopaedic & Scoliosis Surgery Associates, LLP does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Orthopedic Center of Illinois provides free aids and services to people with disabilities to communicate effectively with us, such as: qualified sign language interpreters and some written information in other formats upon request (large print, accessible electronic formats, other formats). We provide free language services to people whose primary language is not
English, such as: qualified interpreters.

If you need these services, you may contact the Clinical Operations Director. If you believe that Orthopedic Center of Illinois 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: Chief Executive Officer, 1301 S Koke Mill Rd Springfield, IL 62711 or (217) 547-9100. You
can file a grievance in person or by mail or phone. If you need help filing a grievance, the Corporate Compliance Officer is available to assist 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, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

ATTENTION: If you speak English, language
assistance services, free of charge, are available to you.
Call 217-547-9100

ATENCIÓN Español (Spanish): si habla español, tiene a
su disposición servicios gratuitos de asistencia
lingüística. Llame al 217-547-9100

ह िंदी (Hindi)
ध्यान दें: यदद आप द िंदी बोलते ैंतो आपकेदलए मुफ्त में
भाषा स ायता सेवाएिं उपलब्ध ैं। 217-547-9100 पर कॉल
करें ।

Tiếng Việt (Vietnamese):
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ
ngôn ngữ miễn phí dành cho bạn. Gọi số 217-547-9100

(Urdu (وُد ُرا
مدد ک ی زب ان ک و آپ ت و ہ یں، ب ول تے اردو آپ اگ ر :خ بردار
ک ال ۔ ہ یں د س ت یاب م یں م فت خدمات ک ی
217-547-9100

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 217-547-9100

Français (French): Si vous parlez français, des
services d’aide linguistique vous sont proposés
gratuitement. Appelez le 217-547-9100.

Tagalog (Tagalog – Filipino):
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari
kang gumamit ng mga serbisyo ng tulong sa wika nang
walang bayad. Tumawag sa 217-547-9100

Русский (Russian): ВНИМАНИЕ: Если вы говорите
на русском языке, то вам доступны бесплатные
услуги перевода. Звоните 217-547-9100

ت تحدث ك نت إذا :م لحوظة -9100-547-217 (Arabic) رق م
ل ك ت تواف ر ال لغوی ة ال م ساعدة خدمات ف إن ال لغة، اذك ر
.ب رق م ات صل .ب ال مجان

Italiano (Italian):
ATTENZIONE: In caso la lingua parlata sia l’italiano,
sono disponibili servizi di assistenza linguistica
gratuiti. Chiamare il numero 217-547-9100.

Deutsch (German):
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen
kostenlos sprachliche Hilfsdienstleistungen zur
Verfügung. Rufnummer: 217-547-9100

한국어 (Korean):
주의: 한국어를 사용하시는 경우, 언어 지원
서비스를 무료로 이용하실 수 있습니다 217-547-
9100 번으로 전화해 주십시오.

Polski (Polish)
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z
bezpłatnej pomocy językowej. Zadzwoń pod numer 217-
547-9100.

ગુજરાતી (Gujarati)
સુચના: જો તમેગુજરાતી બોલતા હો, તો નન:શુલ્ક ભાષા
સહાય સેવાઓ તમારા માટેઉપલબ્ધ છે. ફોન કરો 217-
Ελληνικά

(Greek): Προσοχή: αν μιλάτε ελληνικά
γλωσσικές υπηρεσίες συνδρομής, δωρεάν, είναι
διαθέσιμες σε εσάς. Καλέστε 217-547-9100