Discrimination is Against the Law
Peninsula Physical Therapy complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Peninsula Physical Therapy does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Peninsula Physical Therapy :
- 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 translators, Information written in other languages
If you need these services, contact Peninsula Physical Therapy .
If you believe that Peninsula Physical Therapy 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:
Peninsula Physical Therapy 21 NE Romance HIll Rd #101 Belfair, WA 98528
PH 360 275 6612
FAX 360 275 6658 Info@PeninsulaPT.net
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Patient Advocacy Department 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 or 800-537-7697 (TDD)
Complaint forms are available at: https://www.hhs.gov/ocr/office/file/index.html .
Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 360-275-6612 .
Chinese: 注意:如果您使用繁體中文, 您可以免費獲得語言援助服務 . 請致電 360-275-6612 . Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho
bạn. Gọi số 360-275-6612
Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng
tulong sa wika nang walang bayad. Tumawag sa 360-275-6612
Korean: 주의 : 한국어를 사용하시는 경우 , 언어 지원 서비스를 무료로 이용하실 수 있습니다 . 360-275-6612 번으로 전화해 주십시오 .
Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 360-275-6612
Armenian: ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն , ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ : Զանգահարեք 360-275-6612
Arabic:
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 360-275-6612 :رقم هاتف الصم
Persian (Farsi):
والبكم
توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با .تماس بگیرید 360-275-6612
Japanese: 注意事項:日本語を話される場合、無料の言語支援をご利用いただけます 360-275-6612 まで、お電話にてご連絡ください.
Punjabi: ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸ ਪੰ ਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤ ਭਾਾ ਿਵੱ ਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹ।ੈ 360-275-6612‘ ਤੇ ਕਾਲ ਕਰ।ੋ
Mon-Khmer, Cambodian: បយ័ត៖ េបើសិនអកនិយ ែខរ, េសជំនួយែផក េយមិនគិតឈល គឺចនសំប់បំេរអក។ច ូរ ទូរស័ព 360-275-6612។
Hindi: यानद : यदआ प हदं बोलते ह तोआ पके लए मुतम भाषा सहायता सेवाएं उपलध ह। 360-275-6612 पर कॉल कर।
Hmong: LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 360-275-6612
Thai: เ รียน: ถา้ คณพดภาษาไทยคณสามารถใชบ้ ริการชว่ ยเหลือทางภาษาไดฟ้ รี โ ทร YOUR APPROPRIATE CONTACT PHONE NUMBER HERE
German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Urdu:
خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان YOUR APPROPRIATE CONTACT PHONE NUMBER HERE . کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں
Ukrainian: УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
French: ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Laotian: ໂປດຊາບ: ຖ້ າວ່ າ ທ່ ານເວ້ າພາສາ ລາວ, ການບິລການຊ່ ວຍເຫຼ ອດ້ ານພາສາ, ໂດຍ່ບເສັ ຽຄ່ າ, ແມ່ ນມພ້ ອມໃຫ້ ທ່ ານ. ໂທຣ YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Gujarati: ચુના:જોતમેજુરાતીબોલતાહો,તોિન:ુકભાષાસહાયસેવાઓતમારામાટઉપલધછે.ફોન કરો YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Cushite (Oromo): XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Amharic: ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Romanian: ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Samoan: MO LOU SILAFIA: Afai e te tautala Gagana fa\’a Sāmoa, o loo iai auaunaga fesoasoan, e fai fua e leai se totogi, mo oe, Telefoni mai: YOUR APPROPRIATE CONTACT PHONE NUMBER HERE
Ilocano: Nu saritaem ti Ilocano, ti serbisyo para ti baddang ti lengguahe nga awanan bayadna, ket sidadaan para kenyam. Awagan ti YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Italian: ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Polish: UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Norwegian: MERK: Hvis du snakker norsk, er gratis språkassistansetjenester tilgjengelige for deg. Ring YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
Pennsylvanian (Dutch): Schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call YOUR APPROPRIATE CONTACT PHONE NUMBER HERE .
