NONDISCRIMINATION NOTICE
Pain Institute of Long Island complies with applicable Federal civil rights laws and does not discriminate, exclude or treat people on the basis of race, color, national origin, age, disability, or sex.
Pain Institute of Long Island:
- 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 Pain Institute of Long Island.
If you believe that Pain Institute of Long Island has failed to provide services or discriminated on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Attention: Managing Partner
Pain Institute of Long Island
333 Route 25A
Suite 225
Rocky Point, NY
(631) 474-0707
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Pain Institute of Long Island 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.