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Welcome to Surgery Center of Central Florida, a state-of-the-art outpatient surgery center committed to the highest standards in quality, performance and care.

Our facility is fully licensed by both the State of Florida and the Agency for Health Care Administration (Medicare). The Center is a convenient, high quality alternative to hospital outpatient facilities.

Our caring physicians and staff will help you feel as relaxed and comfortable as possible throughout your visit with us. After your surgery you will be able to continue your recovery in the comfort of your own home.

The information included in this site should help you prepare for your surgery. If you have any questions about your surgery or our facility, please don’t hesitate to contact us.

Earning Your Trust Through Quality

One of the most important things we do to earn your trust is to participate voluntarily in the quality assessment program of the Accreditation Association for Ambulatory Health Care (AAAHC).

Our accreditation tells you that the AAAHC’s independent team of health care professionals has taken a close look at us and has found that we meet their rigorous, nationally recognized standards for quality health care services.

Accreditation demands a high level of commitment and effort. It challenges us always to find better ways to serve you. It reminds us constantly that our first and most important responsibility is to see that you receive the best care we can possibly provide.

Our accreditation gives you that extra measure of confidence you want in your health care services. It’s one more way for us to say “We care about you.”

Agency for Health Care Administration

The AHCA provides the following online resource for patients to search provider price and quality in comparison with other surgical centers. Available through this site, patients will also find a collection of help resources such as Hospice and consumer guides, health education, and location information for other Florida health care facilities and providers within your area. Link: www.floridahealthfinder.gov

Patients and prospective patients may request from this facility and other health care providers a more personalized estimate of charges and other information. Patients and prospective patients should contact each health care practitioner who will provide services in the SCOCF to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.

When You Arrive At Surgery Center of Central Florida

It is important that you review and follow any preoperative instructions that your doctor has given to you.

Transportation
For your safety and protection, you will not be allowed to drive a motor vehicle following your surgery; therefore, please arrange for someone to drive you to and from the Surgery Center. You may also wish to arrange for someone to stay with you following your surgery.

If You Must Cancel Surgery
If for any reason you cannot keep your scheduled appointment for surgery or you experience any changes in your health, such as a cold or fever, please contact the Surgery Center immediately. This will assist us with our daily scheduling of procedures.

The Day of Surgery

  • Bring your insurance card(s) and any forms that your doctor requests that you bring with you.
  • If you do not speak English, you should arrange for an interpreter to accompany you throughout your visit to the Surgery Center.
  • Leave all your valuables, including jewelry and watches, at home.
  • Do not wear contact lenses, hearing aids or make-up.

The Procedure

Anesthesia:

Your anesthesia will be provided by a certified registered nurse anesthetist (CRNA) highly qualified in outpatient anesthesia. The appropriate type of anesthesia will be determined by your surgeon in consultation with the CRNA and with your approval. For most ophthalmology procedures, topical anesthesia (eye drops) will be used in combination with intravenous medications. Your  CRNA will answer any questions that you may have before surgery. Even though your medications are listed on your patient chart, be sure to talk to your CRNA about any medications that you are currently taking, even over-the-counter drugs and vitamins, as well as any allergies you may have to medications.

Recovery:

Immediately following your surgery, you will be taken to our fully-equipped recovery room where a nurse will closely monitor your blood pressure and pulse. The amount of time you spend in recovery will depend on the type of surgery and/or anesthesia that you have had. Most likely your entire visit in the Surgery Center will be between one to two hours.

After Surgery:
Before you leave the Surgery Center, a nurse will review with you the written summary of your doctor’s postoperative instructions.

When You Get Home After Surgery

For best results, be sure to carefully follow your doctor’s specific instructions regarding diet, rest, activities and medications.

One of our nurses will call you after surgery to see how you are doing. At anytime, if you have any questions or concerns, please don’t hesitate to call your doctor or the Surgery Center.

Fees

You will receive separate bills for the following:

  • Surgery Center of Central Florida for the cost of your pre-operative evaluation, nursing personnel, medications, supplies and the use of the operating and recovery rooms,
  • Your surgeon for performing your surgery,
  • The CRNA for administering the anesthesia

Contact information:
Solace Anesthesia
3035 SE Maricamp Rd, STE 104- 191
Ocala, FL 34471

Solace Anesthesia Billing: 888-278-4126
Website: solaceanesthesia.com

  • Laboratory tests, if applicable, and any other professional services that you may receive while at the Surgery Center.

Contact information:

Quest Diagnostic Laboratory
8602 SW State Road 200
103rd Street Plaza Suite J
Ocala, FL 34481

Phone: 352-873-0069

Medical Insurance

Surgery Center of Central Florida accepts Medicare and most major commercial insurances, including HMO/PPO plans. For a list of participating plans click here.

For your convenience, we will file your insurance; however, any balances, deductibles or uncovered services remain your responsibility.

To facilitate the surgical process, please check with your insurance company for any pre-admission requirements, such as second opinions and pre-admission authorization.

You may request from Surgery Center of Central Florida, anesthesia or lab tests a more personalized estimate of charges. Please contact each health care practitioner who will provide services in the facility to determine if they participate in your health insurance plan.

If you are uninsured or a self-pay patient, you will be required to pay for services before your scheduled surgery date, unless other arrangements have been made with the Surgery Center. We accept cashier’s checks, MasterCard, VISA, Discover and American Express.

Charity Care

Mission Cataract USA
Surgery Center of Central Florida participates with Mission Cataract USA which is a nonprofit humanitarian organization that works with ophthalmologists to offer free cataract surgery to individuals who have no means to pay and no insurance.
To qualify for this free community service, applicants must have: poor vision, due to cataracts uncorrectable with glasses, which interferes with activities of daily living, no Medicare, Medicaid, or third party insurance coverage, and no other means to pay for cataract surgery.

Lions Club
Lions Club primary activity is to fund eye exams, glasses, eye surgery and hearing aids for needy adults and children. To contact Naples Lions Club click the link below or call 239 353-4800
http://e-clubhouse.org/sites/naplesfl/contact.php

Division of Blind Services
Is available to help blind and visually impaired Floridians achieve their goals and live productive and independent lives. DBS services cover all ages from babies to senior citizens.
The apply or for more information click the link below or call 239 278-7130
http://dbs.myflorida.com/Information/Apply/index.html

Surgery Center Hours

Surgery Center of Central Florida is open Monday through Friday. All surgeries are scheduled by appointment only.

If You Have Any Questions

Please feel free to call the Surgery Center if you have any questions or concerns. Everyone on the staff of Surgery Center of Central Florida shares a common interest in your well-being and wants you to feel comfortable and completely satisfied with our services.

You will receive a patient survey following your procedure. We would appreciate your taking a few minutes to complete the survey and returning it to us at your earliest convenience. Your comments and suggestions are important in helping us maintain a Center dedicated to quality patient care and surgical excellence.

 

NONDISCRIMINATORY POLICY

Ensures education of and public awareness of Civil Rights.
“This facility has agreed to comply with the provisions of the Federal Civil Rights Act of 1964 and the Florida Human Relations Act and all requirements imposed pursuant thereto to the end that no person shall, on the grounds of race, color, national origin, ancestry, age, sex, religious creed, or disability, be excluded from participation in, be denied benefits of, or otherwise be subject to discrimination in the provision of any care or service.”

CIVIL RIGHTS COMPLIANCE

The Surgery Center of Central Florida complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. The Surgery Center of Central Florida does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

LANGUAGE ASSISTANCE

The Surgery Center of Central Florida provides services to people with disabilities to communicate effectively with us, such as:

  • Written information if other formats can be requested and made readily available, other formats may include (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 the Director of Surgery Center of Central Florida

If you believe that that we have 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:

Thomas Hutchinson PMD, Administrator, Surgery Center of Central Florida
Surgery Center of Central Florida
6547 SW State Road 200
Ocala, Florida 34476
Phone: 352-355-3300
Fax: 352-355-3289

Email: Admin@surgeryccfl.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Surgery Center of Central Florida Director 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 athttps://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


The Surgery Center of Central Florida complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Informing Individuals With Limited English Proficiency of Language Assistance Services

ATTENTION: If you speak a foreign language assistance services, free of charge, are available to you. Call (352) 355.3300

.

Specific translations for Notice of Nondiscrimination, Nondiscrimination and Taglines are available at: http://www.hhs.gov/civil-rights/for-individuals/section-1557/translated-resources/

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (352) 547-3370.

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 1-724-550-4211.
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (352) 547-3370.

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (352) 547-3370.

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call (352) 547-3370.

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-724-550-4211 번으로 전화해 주십시오.

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (352) 547-3370.

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-724-550-4211 (رقم هاتف الصم والبكم: 0733-253-745.

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-724-550-4211.

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (352) 547-3370.

સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો (352) 547-3370.

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer
(352) 547-3370.

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-724-550-4211.
ប្រយ័ត្ន៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរស័ព្ទ (352) 547-3370

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para (352) 547-3370.

SECTION 1557 OF THE AFFORDABLE CARE ACT GRIEVANCE PROCEDURE

It is the policy of The Surgery Center of Central Florida not to discriminate on the basis of race, color, national origin, sex, age or disability. The Surgery Center has adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR part 92, issued by the U.S. Department of Health and Human Services. Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain health programs and activities.

Any person who believes someone has been subjected to discrimination on the basis of race, color, national origin, sex, age or disability may file a grievance under this procedure. It is against the law for the Practice to retaliate against anyone who opposes discrimination, files a grievance, or participates in the investigation of a grievance.

SUBMISSION OF GRIEVANCE

Grievances must be submitted to the Section 1557 Coordinator within (60 days) of the date the person filing the grievance becomes aware of the alleged discriminatory action.

A complaint must be in writing, containing the name and address of the person filing it. The complaint must state the problem or action alleged to be discriminatory and the remedy or relief sought.

INVESTIGATION

The Section 1557 Coordinator (or her/his designee) shall conduct an investigation of the complaint. This investigation may be informal, but it will be thorough, affording all interested persons an opportunity to submit evidence relevant to the complaint. The Section 1557 Coordinator will maintain the files and records of the Practice relating to such grievances. To the extent possible, and in accordance with applicable law, the Section 1557 Coordinator will take appropriate steps to preserve the confidentiality of files and records relating to grievances and will share them only with those who have a need to know.

The Section 1557 Coordinator will issue a written decision on the grievance, based on a preponderance of the evidence, no later than 30 days after its filing, including a notice to the complainant of their right to pursue further administrative or legal remedies.

APPEAL

The person filing the grievance may appeal the decision of the Section 1557 Coordinator by writing to the (Chief Executive Officer) within 15 days of receiving the Section 1557 Coordinator’s decision. The (Chief Executive Officer) shall issue a written decision in response to the appeal no later than 30 days after its filing.

The availability and use of this grievance procedure does not prevent a person from pursuing other legal or administrative remedies, including filing a complaint of discrimination on the basis of race, color, national origin, sex, age or disability in court or with the U.S. Department of Health and Human Services, Office for Civil Rights. A person can file a complaint of discrimination electronically through the Office for Civil Rights Complaint Portal, which is 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.

Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html. Such complaints must be filed within 180 days of the date of the alleged discrimination.

ACCOMMODATIONS IN THE GRIEVANCE PROCESS

The Surgery Center of Central Florida will make appropriate arrangements to ensure that individuals with disabilities and individuals with limited English proficiency are provided auxiliary aids and services or language assistance services, respectively, if needed to participate in this grievance process. Such arrangements may include, but are not limited to, providing qualified interpreters, providing taped cassettes of material for individuals with low vision, or assuring a barrier-free location for the proceedings. The Section 1557 Coordinator will be responsible for such arrangements.

Welcome to Surgery Center of Central Florida, a state-of-the-art outpatient surgery center committed to the highest standards in quality, performance and care.

Our facility is fully licensed by both the State of Florida and the Agency for Health Care Administration (Medicare). The Center is a convenient, high quality alternative to hospital outpatient facilities.

Our caring physicians and staff will help you feel as relaxed and comfortable as possible throughout your visit with us. After your surgery you will be able to continue your recovery in the comfort of your own home.

The information included in this site should help you prepare for your surgery. If you have any questions about your surgery or our facility, please don’t hesitate to contact us.

Earning Your Trust Through Quality

One of the most important things we do to earn your trust is to participate voluntarily in the quality assessment program of the Accreditation Association for Ambulatory Health Care (AAAHC).

Our accreditation tells you that the AAAHC’s independent team of health care professionals has taken a close look at us and has found that we meet their rigorous, nationally recognized standards for quality health care services.

Accreditation demands a high level of commitment and effort. It challenges us always to find better ways to serve you. It reminds us constantly that our first and most important responsibility is to see that you receive the best care we can possibly provide.

Our accreditation gives you that extra measure of confidence you want in your health care services. It’s one more way for us to say “We care about you.”

Agency for Health Care Administration

The AHCA provides the following online resource for patients to search provider price and quality in comparison with other surgical centers. Available through this site, patients will also find a collection of help resources such as Hospice and consumer guides, health education, and location information for other Florida health care facilities and providers within your area. Link: www.floridahealthfinder.gov

Patients and prospective patients may request from this facility and other health care providers a more personalized estimate of charges and other information. Patients and prospective patients should contact each health care practitioner who will provide services in the SCOCF to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.

When You Arrive At Surgery Center of Central Florida

It is important that you review and follow any preoperative instructions that your doctor has given to you.

Transportation
For your safety and protection, you will not be allowed to drive a motor vehicle following your surgery; therefore, please arrange for someone to drive you to and from the Surgery Center. You may also wish to arrange for someone to stay with you following your surgery.

If You Must Cancel Surgery
If for any reason you cannot keep your scheduled appointment for surgery or you experience any changes in your health, such as a cold or fever, please contact the Surgery Center immediately. This will assist us with our daily scheduling of procedures.

The Day of Surgery

  • Bring your insurance card(s) and any forms that your doctor requests that you bring with you.
  • If you do not speak English, you should arrange for an interpreter to accompany you throughout your visit to the Surgery Center.
  • Leave all your valuables, including jewelry and watches, at home.
  • Do not wear contact lenses, hearing aids or make-up.

The Procedure

Anesthesia:

Your anesthesia will be provided by a certified registered nurse anesthetist (CRNA) highly qualified in outpatient anesthesia. The appropriate type of anesthesia will be determined by your surgeon in consultation with the CRNA and with your approval. For most ophthalmology procedures, topical anesthesia (eye drops) will be used in combination with intravenous medications. Your  CRNA will answer any questions that you may have before surgery. Even though your medications are listed on your patient chart, be sure to talk to your CRNA about any medications that you are currently taking, even over-the-counter drugs and vitamins, as well as any allergies you may have to medications.

Recovery:

Immediately following your surgery, you will be taken to our fully-equipped recovery room where a nurse will closely monitor your blood pressure and pulse. The amount of time you spend in recovery will depend on the type of surgery and/or anesthesia that you have had. Most likely your entire visit in the Surgery Center will be between one to two hours.

After Surgery:
Before you leave the Surgery Center, a nurse will review with you the written summary of your doctor’s postoperative instructions.

When You Get Home After Surgery

For best results, be sure to carefully follow your doctor’s specific instructions regarding diet, rest, activities and medications.

One of our nurses will call you after surgery to see how you are doing. At anytime, if you have any questions or concerns, please don’t hesitate to call your doctor or the Surgery Center.

Fees

You will receive separate bills for the following:

  • Surgery Center of Central Florida for the cost of your pre-operative evaluation, nursing personnel, medications, supplies and the use of the operating and recovery rooms,
  • Your surgeon for performing your surgery,
  • The CRNA for administering the anesthesia

Contact information:
Solace Anesthesia
3035 SE Maricamp Rd, STE 104- 191
Ocala, FL 34471

Phone: 352-804-0625
Website: solaceanesthesia.com

  • Laboratory tests, if applicable, and any other professional services that you may receive while at the Surgery Center.

Contact information:

Quest Diagnostic Laboratory
8602 SW State Road 200
103rd Street Plaza Suite J
Ocala, FL 34481

Phone: 352-873-0069

Medical Insurance

Surgery Center of Central Florida accepts Medicare and most major commercial insurances, including HMO/PPO plans. For a list of participating plans click here.

For your convenience, we will file your insurance; however, any balances, deductibles or uncovered services remain your responsibility.

To facilitate the surgical process, please check with your insurance company for any pre-admission requirements, such as second opinions and pre-admission authorization.

You may request from Surgery Center of Central Florida, anesthesia or lab tests a more personalized estimate of charges. Please contact each health care practitioner who will provide services in the facility to determine if they participate in your health insurance plan.

If you are uninsured or a self-pay patient, you will be required to pay for services before your scheduled surgery date, unless other arrangements have been made with the Surgery Center. We accept cashier’s checks, Mastercard, VISA, Discover and American Express.

Charity Care

Mission Cataract USA
Surgery Center of Central Florida participates with Mission Cataract USA which is a nonprofit humanitarian organization that works with ophthalmologists to offer free cataract surgery to individuals who have no means to pay and no insurance.
To qualify for this free community service, applicants must have: poor vision, due to cataracts uncorrectable with glasses, which interferes with activities of daily living, no Medicare, Medicaid, or third party insurance coverage, and no other means to pay for cataract surgery.

Lions Club
Lions Club primary activity is to fund eye exams, glasses, eye surgery and hearing aids for needy adults and children. To contact Naples Lions Club click the link below or call 239 353-4800
http://e-clubhouse.org/sites/naplesfl/contact.php

Division of Blind Services
Is available to help blind and visually impaired Floridians achieve their goals and live productive and independent lives. DBS services cover all ages from babies to senior citizens.
The apply or for more information click the link below or call 239 278-7130
http://dbs.myflorida.com/Information/Apply/index.html

Surgery Center Hours

Surgery Center of Central Florida is open Monday through Friday. All surgeries are scheduled by appointment only.

If You Have Any Questions

Please feel free to call the Surgery Center if you have any questions or concerns. Everyone on the staff of Surgery Center of Central Florida shares a common interest in your well-being and wants you to feel comfortable and completely satisfied with our services.

You will receive a patient survey following your procedure. We would appreciate your taking a few minutes to complete the survey and returning it to us at your earliest convenience. Your comments and suggestions are important in helping us maintain a Center dedicated to quality patient care and surgical excellence.

 

NONDISCRIMINATORY POLICY

Ensures education of and public awareness of Civil Rights.
“This facility has agreed to comply with the provisions of the Federal Civil Rights Act of 1964 and the Florida Human Relations Act and all requirements imposed pursuant thereto to the end that no person shall, on the grounds of race, color, national origin, ancestry, age, sex, religious creed, or disability, be excluded from participation in, be denied benefits of, or otherwise be subject to discrimination in the provision of any care or service.”

CIVIL RIGHTS COMPLIANCE

The Surgery Center of Central Florida complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. The Surgery Center of Central Florida does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

LANGUAGE ASSISTANCE

The Surgery Center of Central Florida provides services to people with disabilities to communicate effectively with us, such as:

  • Written information if other formats can be requested and made readily available, other formats may include (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 the Director of Surgery Center of Central Florida

If you believe that that we have 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:

Thomas Hutchinson PMD, Administrator, Surgery Center of Central Florida
Surgery Center of Central Florida
6547 SW State Road 200
Ocala, Florida 34476
Phone: 352-355-3300
Fax: 352-355-3289

Email: Admin@surgeryccfl.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Surgery Center of Central Florida Director 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 athttps://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


The Surgery Center of Central Florida complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Informing Individuals With Limited English Proficiency of Language Assistance Services

ATTENTION: If you speak a foreign language assistance services, free of charge, are available to you. Call (352) 355.3300

.

Specific translations for Notice of Nondiscrimination, Nondiscrimination and Taglines are available at: http://www.hhs.gov/civil-rights/for-individuals/section-1557/translated-resources/

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (352) 547-3370.

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 1-724-550-4211.
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (352) 547-3370.

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (352) 547-3370.

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call (352) 547-3370.

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-724-550-4211 번으로 전화해 주십시오.

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (352) 547-3370.

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-724-550-4211 (رقم هاتف الصم والبكم: 0733-253-745.

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-724-550-4211.

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (352) 547-3370.

સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો (352) 547-3370.

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer
(352) 547-3370.

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-724-550-4211.
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SECTION 1557 OF THE AFFORDABLE CARE ACT GRIEVANCE PROCEDURE

It is the policy of The Surgery Center of Central Florida not to discriminate on the basis of race, color, national origin, sex, age or disability. The Surgery Center has adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR part 92, issued by the U.S. Department of Health and Human Services. Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain health programs and activities.

Any person who believes someone has been subjected to discrimination on the basis of race, color, national origin, sex, age or disability may file a grievance under this procedure. It is against the law for the Practice to retaliate against anyone who opposes discrimination, files a grievance, or participates in the investigation of a grievance.

SUBMISSION OF GRIEVANCE

Grievances must be submitted to the Section 1557 Coordinator within (60 days) of the date the person filing the grievance becomes aware of the alleged discriminatory action.

A complaint must be in writing, containing the name and address of the person filing it. The complaint must state the problem or action alleged to be discriminatory and the remedy or relief sought.

INVESTIGATION

The Section 1557 Coordinator (or her/his designee) shall conduct an investigation of the complaint. This investigation may be informal, but it will be thorough, affording all interested persons an opportunity to submit evidence relevant to the complaint. The Section 1557 Coordinator will maintain the files and records of the Practice relating to such grievances. To the extent possible, and in accordance with applicable law, the Section 1557 Coordinator will take appropriate steps to preserve the confidentiality of files and records relating to grievances and will share them only with those who have a need to know.

The Section 1557 Coordinator will issue a written decision on the grievance, based on a preponderance of the evidence, no later than 30 days after its filing, including a notice to the complainant of their right to pursue further administrative or legal remedies.

APPEAL

The person filing the grievance may appeal the decision of the Section 1557 Coordinator by writing to the (Chief Executive Officer) within 15 days of receiving the Section 1557 Coordinator’s decision. The (Chief Executive Officer) shall issue a written decision in response to the appeal no later than 30 days after its filing.

The availability and use of this grievance procedure does not prevent a person from pursuing other legal or administrative remedies, including filing a complaint of discrimination on the basis of race, color, national origin, sex, age or disability in court or with the U.S. Department of Health and Human Services, Office for Civil Rights. A person can file a complaint of discrimination electronically through the Office for Civil Rights Complaint Portal, which is 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.

Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html. Such complaints must be filed within 180 days of the date of the alleged discrimination.

ACCOMMODATIONS IN THE GRIEVANCE PROCESS

The Surgery Center of Central Florida will make appropriate arrangements to ensure that individuals with disabilities and individuals with limited English proficiency are provided auxiliary aids and services or language assistance services, respectively, if needed to participate in this grievance process. Such arrangements may include, but are not limited to, providing qualified interpreters, providing taped cassettes of material for individuals with low vision, or assuring a barrier-free location for the proceedings. The Section 1557 Coordinator will be responsible for such arrangements.