Nondiscrimination Notice

Baylor Scott & White Surgicare Waxahachie complies with applicable Federal civil rights laws and does not discriminate on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression.  Baylor Scott & White Surgicare Waxahachie does not exclude people or treat them differently because of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression.  Our health plans are also subject to the section 1557 nondiscrimination requirements and will be operated accordingly.

Baylor Scott & White Surgicare Waxahachie:

• Provides free auxiliary aids and services to people with disabilities to communicate effectively with us, such as:
  • qualified sign language interpreters, video remote interpreting or other aids for hearing impaired individuals
  • written information in multiple formats including large print, audio, accessible electronic formats, or other formats for visually impaired individuals

• Provides reasonable accommodations to people with known disabilities to enable them to utilize our facilities and services.

• Provides free language services to people whose primary language is not English, such as:
  • qualified interpreters or a language line
  • information written in other languages

If you need these services, contact Baylor Scott & White Surgicare Waxahachie’s ADA Coordinator at 469-940-4030.

If you believe that Baylor Scott & White Surgicare Waxahachie 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:

ADA Coordinator

Baylor Scott & White Surgicare Waxahachie
1434 W US Hwy 287 Bypass Suite 100 Waxahachie, Texas 75165
Phone: 469-940-4030.
Fax: 972-923-0173
[email protected]

You can file a grievance in person or by mail, fax or email.  If you need help filing a grievance, Baylor Scott & White Surgicare Waxahachie’s ADA 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 https://www.hhs.gov/ocr/office/file/index.html

English	ATTENTION:  If you speak another language, language assistance services, free of charge, are available to you.  Call 469-940-4030.
Spanish	ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 469-940-4030.
Vietnamese	CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 469-940-4030.
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 469-940-4030。
Korean	주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 469-940-4030번으로 전화해 주십시오.
Russian	ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 469-940-4030.
Amharic	ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 214-407-5271 469-940-4030.
Arabic	ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 469-940-4030.
German	ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 469-940-4030.
French	ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 469-940-4030.
Nepali	ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ । फोन गर्नुहोस् 469-940-4030।
Tagalog	PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 469-940-4030.
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。469-940-4030 まで、お電話にてご連絡ください。
Cushite	XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 469-940-4030.
Farsi	توجه: اگر به زبان فارسی صحبت می کنید، خدمات زبانی رایگان به شما ارایه میگردد، با شماره 469-940-4030 تماس بگیرید.
Kru	Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m̀ [Ɓàsɔ́ɔ̀-wùɖù-po-nyɔ̀] jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ̀ ɓɛ́ìn m̀ gbo kpáa. Ɖá 469-940-4030
Ibo	Ntị: Ọ bụrụ na asụ Ibo, asụsụ aka ọasụ n’efu, defu, aka. Call 469-940-4030.
Yoruba	AKIYESI: Bi o ba nsọ èdè Yorùbú ọfé ni iranlọwọ lori èdè wa fun yin o. Ẹ pe ẹrọ-ibanisọrọ yi 469-940-4030.