Discrimination is Against the Law Blindspot Medical complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. This Practice does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Blindspot Medical:

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).

Blindspot Medical:

Provides free language services to people whose primary language is not English, such as:

Qualified interpreters; or Information written in other

If you need these services, contact the Office Manger of the specific office you are receiving treatment.

If you believe that

Blindspot Medical 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:

Email:

[email protected]

Telephone Number:

1-866-343-0913

If you need help filing a grievance:

Email:

[email protected]

Telephone Number:

1-866-343-0913

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, 1–800–868–1019, 800–537–7697 (TDD).Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

Have a disability?

Speak a language other than English?

Call to get help for free.

Español (Spanish): ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.

Kreyòl Ayisyen (French Creole): ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.

Tiếng Việt (Vietnamese): CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

Português (Portuguese): ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis

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

Français (French): ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.

Tagalog (Tagalog – Filipino): PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.

Русский (Russian): ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.

(Arabic): والبكﻢ الصﻢ ه: .برﻗﻢ ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصلItaliano (Italian):

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti.

Deutsch (German): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.

한국어 (Korean): 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.번으로 전화해 주십시오

Polski (Polish): UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.

ગુજરાતી (Gujarati): �ચુ ના: જો તમે�જરાતી બોલતા હો, તો િ ન:� કુ ભાષા સહાય સેવાઓ તમારા માટ�ઉપલ ધ છ.

ภาษาไทย (Thai): เรยน: ถา้ คณ พดภาษาไทยคณ สามารถใชบรก ารชว ยเหลอ ทางภาษาได

This Policy applies to Alpha One Protocol, LLC and any subsidiary company listed below, and it governs any and all data collection and usage by us. Through the use of www.alphaoneprotocol.com and any subsidiary website listed below, you are therefore consenting to the data collection procedures expressed in this Policy.