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Mayfair Vision Clinic Non-Discrimination Statement

Download a copy of our Non-Discrimination Statement [PDF]

Mayfair Vision Clinic understands that discrimination is against the law and complies with all applicable Federal and State civil rights laws. Specifically, we do not discriminate on the basis of race, color, national origin, age, disability or sex. We do not exclude patients or treat them any differently based on any of these factors.

When necessary and free of charge to the patient, Mayfair Vision Clinic:

  • Provides aids and services to patients with disabilities when necessary to effectively communicate with them.
  • Provides qualified sign language interpreters for hearing impaired patients.
  • Provides language services to those patients who cannot effectively communicatein English. This may include qualified interpreters or written information.If you need these services, contact our office at 303-333-9898. If you believe Mayfair Vision Clinic has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you may file a grievance with:Janice I. Jarrett, OD 1336 Leyden St. Denver, CO 80220Cell 720-988-5551
    Fax# 303-333-0719
    Email: dr.janice@mayfairvisionclinic.comYou may file grievance in person, by mail, fax or email. If you need assistance filing a grievance Janice I. Jarrett, OD is available to assist you.

    You may also file a civil rights complaint with the US Department of Health and Human Services, Office for Civil Rights two ways:

    1. (1)  Electronically through the office of Civil Rights Complaint Portal: http://ocrportal.hhs.gov/ocr/portal/lobby.jsf
    2. (2)  By mail or phone at:
      US Department of Health and Human Services
      200 Independence Avenue SW room 509F, HHH Building Washington, DC 202011-800-368-1019 1-800-537-7697 (TTD)

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

Notification of Language Assistance Services for Individuals With Limited English Proficiency

ATTENTION: If you speak Spanish, Vietnamese, Chinese, Korean, Russian, Amharic, Arabic, German, French, Nepali, Tagalog, Japanese, Cushite, Persian (Farsi), Kru (Bassa), Ibo, or Yoruba, language assistance services, free of charge, are available to you. Call 303-333-9898.
(Please note, that the taglines for Amharic, Cushite and Kru (Bassa) are not currently available on the HHS.gov website.)
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.
ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ । फोन गर्नुहोस् 1-303-333-9898 (टिटिवाइ: 1-303-333-9898) ।
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-xxx-xxx-xxxx (رقم هاتف الصم والبكم: 1-303-333-9898).
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.
注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。
توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با 1-303-333-9898 تماس بگیرید.

Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m̀ [Ɓàsɔ́ɔ̀-wùɖù-po-nyɔ̀] jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ̀ ɓɛ́ìn m̀ gbo kpáa. Ɖá 1-303-333-9898
Ige nti: O buru na asu Ibo asusu, enyemaka diri gi site na.
AKIYESI: Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o. E pe ero ibanisoro yi303-333-9898