Nondiscrimination Notice and Access to Communication Services
Mercy Physicians Medical Group (MPMG) and its affiliated groups do not discriminate on the basis of sex, age, race, color, national origin, or disability.
Free services are available to help you communicate with us. Such as, letters in other languages, or in other formats like large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free number 1-619-543-8800, choose option 3. TTY 711.
If you think you weren’t treated fairly because of your sex, age, race, color, national origin, or disability, you can send a complaint to: Civil Rights Coordinator
11000 Optum Circle
Eden Prairie, MN 55344
Fax: 855-351-5495
Email: Optum_Civil_Rights@Optum.com
If you need help with your complaint, please call the toll-free number 888-445-8745. TTY 711. You must send the complaint within 60 days of when you found out about the issue.
You can also file a complaint with the U.S. Dept. of Health and Human services.
Online https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Phone: Toll-free 1-800-368-1019, 800-537-7697 (TDD)
Mail: U.S. Dept. of Health and Human Services. 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201
Language Assistance Services and Alternate Formats
This information is available in other formats like large print. To ask for another format, please call the toll-free number 1-619-543-8800, choose option 3. TTY 711.
ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Please call 1-619-543-8800, choose option 3.
ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al 1-619-543-8800, choose option 3.
請注意：如果您說中文 (Chinese)，我們免費為您提供語言協助服務。請致電：1-619-543-8800, choose option 3。
XIN LƯU Ý: Nếu quý vị nói tiếng Việt (Vietnamese), quý vị sẽ được cung cấp dịch vụ trợ giúp
về ngôn ngữ miễn phí. Vui lòng gọi 1-619-543-8800, choose option 3.
알림: 한국어(Korean)를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니
다. 1-619-543-8800, choose option 3 번으로 전화하십시오.
PAUNAWA: Kung nagsasalita ka ng Tagalog (Tagalog), may makukuha kang mga libreng serbisyo ng tulong sa wika. Mangyaring tumawag sa 1-619-543-8800, choose option 3.
ВНИМАНИЕ: бесплатные услуги перевода доступны для людей, чей родной язык
является русском (Russian). Позвоните по номеру 1-619-543-8800, choose option 3.
.1-619-543-8800, choose option 3 ﻓﺈن ﺧﺪﻣﺎت اﻟﻤﺴﺎﻋﺪة اﻟﻠﻐﻮﯾﺔ اﻟﻤﺠﺎﻧﯿﺔ ﻣﺘﺎﺣﺔ ﻟﻚ. اﻟﺮﺟﺎء اﻷﺗﺼﺎل ﺑـ ،)Arabic(ﺗﻨﺒﯿﮫ: إذا ﻛﻨﺖ ﺗﺘﺤﺪث العربية
ATANSYON: Si w pale Kreyòl ayisyen (Haitian Creole), ou kapab benefisye sèvis ki gratis pou ede w nan lang pa w. Tanpri rele nan 1-619-543-8800, choose option 3.
ATTENTION : Si vous parlez français (French), des services d’aide linguistique vous sont proposés gratuitement. Veuillez appeler le 1-619-543-8800, choose option 3.
UWAGA: Jeżeli mówisz po polsku (Polish), udostępniliśmy darmowe usługi tłumacza. Prosimy zadzwonić pod numer 1-619-543-8800, choose option 3.
ATENÇÃO: Se você fala português (Portuguese), contate o serviço de assistência de idiomas gratuito. Ligue para 1-619-543-8800, choose option 3.
ATTENZIONE: in caso la lingua parlata sia l’italiano (Italian), sono disponibili servizi di assistenza linguistica gratuiti. Si prega di chiamare il numero 1-619-543-8800, choose option 3.
ACHTUNG: Falls Sie Deutsch (German) sprechen, stehen Ihnen kostenlos
sprachliche Hilfsdienstleistungen zur Verfügung. Rufen Sie 1-619-543-8800, choose option 3 an.
注意事項：日本語 (Japanese) を話される場合、無料の言語支援サービスをご利用いただけます。1-619-543-8800, choose option 3 にお電話ください。
اﺳﺖ، ﺧﺪﻣﺎت اﻣﺪاد زﺑﺎﻧﯽ ﺑﮫ طﻮر راﯾﮕﺎن در اﺧﺘﯿﺎر ﺷﻤﺎ ﻣﯽ ﺑﺎﺷﺪ. )i sraF(ﺗﻮﺟﮫ: اﮔﺮ زﺑﺎن ﺷﻤﺎ فارسی ﺗﻤﺎس ﺑﮕﯿﺮﯾﺪ.
1-619-543-8800, choose option 3
कृपा धयान दें: यदद आप ह .दी (Hindi) भाषी हैं तो आपके िलए भाषा सहायता सेवाएं
नन:शुिक उिप ध हैं। कृपा पर काि क रें 1-619-543-8800, choose option 3
CEEB TOOM: Yog koj hais Lus Hmoob (Hmong), muaj kev pab txhais lus pub dawb rau koj. Thov
hu rau 1-619-543-8800, choose option 3.
ចំណាប់អារម្មណ ៍ៈ បេេេេបើសិនអ្នកនិយាយភាសាខ្ មមរ(Khmer)បសវាជំនួយភាសាបោយឥតគិតថ្ ៃល គឺមានសំរាប់អ្នក។ សូម្ទូរស័ព្ទ បៅបេម 1-619-543-8800, choose option 3។
PAKDAAR: Nu saritaem ti Ilocano (Ilocano), ti serbisyo para ti baddang ti lengguahe nga awanan bayadna, ket sidadaan para kenyam. Maidawat nga awagan iti 1-619-543-8800, choose option 3.
DÍÍ BAA'ÁKONÍNÍZIN: Diné (Navajo) bizaad bee yániłti'go, saad bee áka'anída'awo'ígíí, t'áá jíík'eh, bee ná'ahóót'i'. T'áá shoodí kohjį' 1-619-543-8800, choose option 3 hodíilnih.
OGOW: Haddii aad ku hadasho Soomaali (Somali), adeegyada taageerada luqadda, oo bilaash ah, ayaad heli kartaa. Fadlan wac 1-619-543-8800, choose option 3.