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Florida Center for
Prostate Care Proton Resources Florida Center for Prostate Care Proton Resources
complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin,
age, disability, or sex. Florida Center for Prostate Care Proton Resources does not exclude people or treat them differently
because of race, color, national origin, age, disability, or sex. Florida Center
for Prostate Care Proton Resources: 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 Florida Center for Prostate Care Proton Resources If you believe that Florida Center for Prostate Care Proton Resources 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: Mitchell
Terk, MD, 7017 AC Skinner Parkway Jacksonville, FL 32256 , Telephone Number: 1-904-520-6800,
Fax Number: 1-904-520-6801, Email: mterk@floridaprostate.com,. You can file a grievance in
person or by mail, fax, or email. If you need help filing a grievance, Mitchell Terk, MD 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. ATENCIÓN: si habla español,
tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-904-520-6800 (TTY:
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pou lang ki disponib gratis pou ou. Rele 1-904-520-6800 (TTY: Dial 711 ) CHÚ
Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ
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