Virginia Eye Institute complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Virginia Eye Institute does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Virginia Eye Institute:
- Will provide 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, other formats)
- Will provide 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, please contact: 804-287-4200 or email@example.com. Please specify if services are required for the surgery center or a doctor’s appointment.
If you believe that Virginia Eye Institute 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 the appropriate ACA Grievance Coordinator.
For Surgical Services:
Lisa Sizemore, Director of Surgical Services
Virginia Eye Institute Surgical Pavilion
402 Westhampton Station
Richmond, VA 23226
For Clinical Services:
Chris Turpin, CXO
Virginia Eye Institute
400 Westhampton Station
Richmond, VA 23226
If you need help filing a grievance, a qualified interpreter can be assigned to help you. Grievances may be filed in person by appointment or by mail, fax or email.
You may 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)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
Virginia Eye Institute Language Assistance Services
Contact: 804-287-4200 or firstname.lastname@example.org
ATTENTION: If you speak American Sign Language, language assistance services, free of charge, are available to you.