Nondiscrimination Notice

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Susan Poncy, M.D. complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender identity, or sexual orientation. Susan Poncy, M.D. does not exclude people or treat them differently because of any of these characteristics.

If you require assistance or services, please contact Susan Poncy, M.D. directly. TTY users may dial 711 for telecommunication access.

How to File a Grievance

If you believe that Susan Poncy, M.D. has failed to provide these services or has discriminated in another way based on race, color, national origin, age, sex, disability, gender identity, or sexual orientation, you have the right to file a grievance.

You may submit a grievance by mail, fax, or email. If you need assistance with filing a grievance, our team is available to help.

You may also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:

Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
By Mail:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
By Phone: (800) 368-1019
TDD: (800) 537-7697
Complaint forms are available at: https://www.hhs.gov/ocr/office/file/index.html

Language Assistance

English:
ATTENTION: If you speak English, language assistance services are available to you at no cost. Call (800) 826-2862 (TTY: 711).

Spanish / Español:
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (800) 826-2862 (TTY: 711).