Notice of Nondiscrimination

RIVA Surgery Center complies with applicable federal and California civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, or gender identity.

We do not exclude people or treat them differently because of any of these characteristics.

Services we provide at no cost

For people with disabilities

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

For people whose primary language is not English

• Qualified interpreters
• Information written in other languages

To request any of these services, contact us at (510) 513-5747 or info@rivasurgerycenter.com.

If you believe we have discriminated

You may file a grievance with:

Civil Rights Coordinator
RIVA Surgery Center
1620 E. Clark Ave., Suite 101, Orcutt, CA 93455
Phone: (510) 513-5747
Email: info@rivasurgerycenter.com

You may file in person, by mail, by phone, or by email. If you need help filing a grievance, our Civil Rights Coordinator will assist you.

You may also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:

• Online: ocrportal.hhs.gov/ocr/portal/lobby.jsf
• Mail: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201
• Phone: 1-800-368-1019 · TDD: 1-800-537-7697

Language assistance