Surgery

The Center for Minimally Invasive  Surgery
Suite D3

Hepato-Pancreato-Biliary Center
Suite D3 (located within the Center for Minimally Invasive Surgery)

Synergy Bariatrics
30 North Union Road, Suite 104
Williamsville, NY 14221
716.565.3990

Discrimination is Against the Law

UBMD Surgery complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

UBMD Surgery does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

UBMD Surgery

• ·       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 interpreters
  • Information written in other languages

If you need these services, contact Elaine Guyton

If you believe that UBMD Surgery 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:

Elaine Guyton

Civil Rights Coordinator

462 Grider Street, DK Miller Bldg 3^rd Floor Buffalo, NY,

Phone: 716-898-5009

Fax: 716-898-3093

eguyton@buffalo.edu

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, [Elaine Guyton, 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, 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, 800-537-7697 (TDD)

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