Notice of Nondiscrimination

• 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 and 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 Patient Advocate at ShorePoint Health Port Charlotte or ShorePoint Health Punta Gorda.

If you believe that this provider 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:

ShorePoint Health Port Charlotte

2500 Harbor Blvd.

Port Charlotte, FL 33952

TTY: 1-800-955-8771

Fax: 941-766-4140

ShorePoint Health Punta Gorda

809 E. Marion Ave.

Punta Gorda, FL 33950

TTY: 1-800-955-8771

Fax: 914-637-3158

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Patient Advocate 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 ocrportal.hhs.gov/ocr/smartscreen/main.jsf, or by mail or email at Centralized Case Management Operations, U.S. Department of Health and Human Services, 200 Independence Ave. SW, Room 509F, HHH Building, Washington, DC 20201, OCRComplaint@hhs.gov. Complaint forms are available at www.hhs.gov/ocr/complaints/index.html.