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Notice informing individuals about nondiscrimination and accessibility requirements of the Affordable Care Act: Discrimination is Against the Law

Eye Consultants of Northern Virginia (ECNV), PC, complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ECNV does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

ECNV provides free aids and services to people with disabilites to communicate effectively with us, such as free:

  • Qualified sign language interpreters
  • Language services to people whose primary language is not English, such as qualified interpreters
  • Information written on other languages or in other formats when possible

If you need these services, contact this office's manager or adminstrator: Mary Jo Krist

If you believe that ECNV 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 the practice's Civil Rights Coordinator. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Civil Rights Coordinator is available to help you:

Mary Jo Krist, COE

8134 Old Keene Mill Road

Suite 300

Tel: 703-451-6111 #1108

Email: mjkrist@eyeconsult.net

You can also file a complaint with the US Department of Health and Human Services, Office for Civil Rights, electronically through the Office of Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

US Department of Health and Human Services

200 Independence Avenue, SW

Room 509F, HHH Building

Washington, DC 20201

1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html