Momentum Specialty Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of age, race, color, religion, sex, sexual orientation, gender identity, national origin, political belief, handicap, disability, or source of payment.
Momentum Specialty Surgery Center does not exclude people or treat them differently because of age, race, color, religion, sex, sexual orientation, gender identity, national origin, political belief, handicap, disability, or source of payment.
Momentum Specialty Surgery Center provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters; and
- Written information in other formats (large print, audio, accessible electronic formats and other formats).
Momentum Specialty Surgery Center provides free language services to people whose primary language is not English, such as:
- Qualified interpreters; and
- Information written in other languages.
If you need these services, contact any staff member.
If you believe that Momentum Specialty Surgery Center has failed to provide these services or discriminated in another way on the basis of age, race, color, religion, sex, sexual orientation, gender identity, national origin, political belief, handicap, disability, or source of payment, you can file a grievance with:
VP, Enterprise Risk Management & Compliance
ValueHealth
11221 Roe Avenue, Suite 300
Leawood, KS 66211
Toll Free: 866-215-4363
You can file a grievance in person, by mail or email. 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, DC 20201
1-800-368-1019, 800–537–7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html