Twin Tiers Eye Care Associates, PC complies with applicable Federal civil right laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Twin Tiers Eye Care Associates, PC does not exclude people or treat them differently because of

race, color, national origin, age, disability, or sex.

Twin Tiers Eye Care Associates, PC:

• 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,

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 Thomas Friedrich

If you believe that Twin Tiers Eye Care Associates, PC 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:

Thomas Friedrich

207 Madison Ave.

Elmira, NY 14901

Phone: 607-734-2984

Fax: 607-398-3419

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance,

Thomas Friedrich 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)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

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Elmira Office

207 Madison Avenue

Elmira, NY (607) 734-2984

Corning Office

232 Denison Pkwy East

Corning, NY (607) 937-5800

Bath Office

200 E. Steuben Street

Bath, NY (607) 776-3851

Watkins Glen Office

406 E. Fourth Street

Watkins Glen, NY (607) 535-4842

Binghamton Office

1159 Vestal Avenue

Binghamton, NY (607) 722-1755

Endicott Office

1805 E. Main Street

Endicott, NY (607) 748-3434

© 2014-2020 Twin Tiers Eye Care Associates, PC