Notice of Nondiscrimination

Luckycharm Primary Care PLLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Luckycharm Primary Care PLLC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Free help we provide

Luckycharm Primary Care PLLC provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services to communicate effectively with us, such as:

• Qualified sign language interpreters
• Written information in other formats (large print, audio, accessible electronic formats, other formats)

Luckycharm Primary Care PLLC provides free language assistance services to people whose primary language is not English, which may include:

• Qualified interpreters
• Information written in other languages

If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact our Civil Rights Coordinator.

How to file a grievance

If you believe that Luckycharm Primary Care PLLC 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:

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Civil Rights Coordinator is available to help you.

File a complaint with the U.S. Department of Health and Human Services

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/ocr/portal/lobby.jsf, or by mail or phone at:

Complaint forms are available at www.hhs.gov/ocr/complaints.

This notice is available on our website at www.luckycharmprimarycare.com.

Language assistance

Free language assistance and auxiliary aids and services are available. Call (903) 488-2273 (TTY: Relay Texas 711).

• Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (903) 488-2273.
• 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 (903) 488-2273.
• 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 (903) 488-2273。
• 한국어 (Korean): 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. (903) 488-2273 번으로 전화해 주십시오.
• العربية (Arabic): ملحوظة: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم (903) 488-2273.
• Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (903) 488-2273.
• Français (French): ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le (903) 488-2273.
• Deutsch (German): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufen Sie (903) 488-2273 an.
• Русский (Russian): ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (903) 488-2273.
• 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。(903) 488-2273 までお電話ください。
• हिंदी (Hindi): ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। (903) 488-2273 पर कॉल करें।
• اردو (Urdu): خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں۔ کال کریں (903) 488-2273۔
• فارسی (Persian): توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با (903) 488-2273 تماس بگیرید.