Non-Discrimination Notice

Baylor Scott & White Surgical Hospital – Fort Worth 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 Surgical Hospital – Fort Worth 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.

Baylor Scott & White Surgical Hospital – Fort Worth:

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 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 Surgical Hospital – Fort Worth’s ADA Coordinator at 682-703- 5760. If you believe that Baylor Scott & White Surgical Hospital – Fort Worth 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 Surgical Hospital – Fort Worth 1800 Park Place Avenue
Fort Worth, TX 76110
Phone: 682-703-5600
BSFW_HR@uspi.com

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Baylor Scott & White Surgical Hospital – Fort Worth’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)

English	ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 682-703-5600
Spanish	ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 682-703-5600
Vietnamese	CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 682-703-5600.
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682-703-5600
Korean	주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 214-407-5271 (TTY: )번으로 전화해 주십시오.
Russian	ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 682-703-5600
Amharic	ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 214-407-5271 682-703-5600
Arabic	ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 682-703-5600 (رقم هاتف الصم والبكم: ).
German	ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 682-703-5600
French	ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 682-703-5600
Nepali	ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ । फोन गर्नुहोस् 682-703-5600
Tagalog	PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 682-703-5600
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。682-703-5600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 682-703-5600
Farsi	توجه: اگر به زبان فارسی صحبت می کنید، خدمات زبانی رایگان به شما ارایه میگردد، با شماره 682-703-5600تماس 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 682-703-5600
Ibo	Ntị: Ọ bụrụ na asụ Ibo, asụsụ aka ọasụ n’efu, defu, aka. Call 682-703-5600.
Yoruba	AKIYESI: Bi o ba nsọ èdè Yorùbú ọfé ni iranlọwọ lori èdè wa fun yin o. Ẹ pe ẹrọ-ibanisọrọ yi 682-703-5600