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Family Practice Center
Family Practice Center, P.C. Family Practice Center, P.C. Family Practice Center, P.C.

Notice Informing Individuals

About Nondiscrimination and Accessibility Requirements
Nondiscrimination Statement: Discrimination is Against the Law

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

Family Practice Center, PC:

  • 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 as requested based by patient to accommodate patient needs
  • 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  Mary Renn. *

If you believe that Family Practice Center, PC 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:
* Mary Renn
  Family Practice Center, PC
  Administrative Office

  3040 N. Susquehanna Trail
  PO Box 129

  Shamokin Dam, PA  17876
  Phone:  (570) 743-1703 ext 1137

  Fax:  (570) 743-1728

You can file a grievance in person, by mail or by fax.  If you need help filing a grievance, Mary Renn is available to help you.

FPC Grievance Procedure:  http://www.fpcdoctors.com/Portals/2270/web-content/files/Grievance%20Procedure%20Section%201557%20Nondiscrim.pdf 

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. Dept of Health&Human Services

200 Independence Avenue
SW Room 509F HHH Building

Washington, D.C. 20201

Phone:  1-800-368-1019

TDD:  800-537-7697
Complaint forms are available athttp://www.hhs.gov/ocr/office/file/index.html