Nondiscrimination Notice

Acts Vision complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Acts Vision does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

Free aids and services

Acts Vision 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, such as large print, audio and accessible electronic formats

Acts Vision 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, call (714) 312-1200.

How to file a grievance

If you believe that Acts Vision 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:

Civil Rights Coordinator: Eric Hwang, MD
Acts Vision, 10601 Walker St, Suite 250B, Cypress, CA 90630
Phone (714) 312-1200 · Fax (714) 276-2073 · info@actsvisionoc.com

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.

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 at ocrportal.hhs.gov, 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 www.hhs.gov/ocr/complaints.

Language assistance

Free language assistance services are available. Call (714) 312-1200.

• Español (Spanish)ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (714) 312-1200.
• 繁體中文 (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 (714) 312-1200。
• Tiếng Việt (Vietnamese)CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (714) 312-1200.
• TagalogPAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (714) 312-1200.
• 한국어 (Korean)주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. (714) 312-1200 번으로 전화해 주십시오.
• Հայերեն (Armenian)ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք (714) 312-1200:
• فارسی (Persian)توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با (714) 312-1200 تماس بگیرید.
• Русский (Russian)ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (714) 312-1200.
• 日本語 (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。(714) 312-1200 まで、お電話にてご連絡ください。
• العربية (Arabic)ملحوظة: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم (714) 312-1200.
• ਪੰਜਾਬੀ (Punjabi)ਧਿਆਨ ਦਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਵਿੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। (714) 312-1200 'ਤੇ ਕਾਲ ਕਰੋ।
• ខ្មែរ (Khmer)ប្រយ័ត្ន៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរស័ព្ទ (714) 312-1200។
• Hmoob (Hmong)LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau (714) 312-1200.
• हिंदी (Hindi)ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। (714) 312-1200 पर कॉल करें।
• ไทย (Thai)เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร (714) 312-1200