North Carolina State Statement for Informing Individuals About Nondiscrimination and Accessibility Requirements.

Discrimination is Against the Law.

Wake Spine & Pain Specialists comply with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Wake Spine does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Wake Spine & Pain Specialists:

• Provides free aids and services to people with disabilities to communicate effectively with Wake Spine, such as:
  • Qualified sign language interpreters
  • Written information in other formats (large print, audio, accessible electronic formats)

• Provides free language services to people whose primary language is not English, such as:
  • Qualified interpreters
  • Information written in other languages

If you believe that PDI 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:

Sandhya Mandhare, CEO
3801 Wake Forest Road, Suite #210,
Raleigh, NC 27609,
(919) 787-7246
smandhare@wakespine.com

You can file a grievance in person or by mail, or email. If you need help filing a grievance, Jason Wheeler, Director of Clinical Operations, 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 https://www.hhs.gov/ohrp/register-irbs-and-obtain-fwas/forms/index.html