University at Buffalo Neurosurgery, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. University at Buffalo Neurosurgery, Inc. does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

University at Buffalo Neurosurgery, Inc. 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

If you need these services, please notify any associate who will assist you in facilitating a communication service.

If you believe that University at Buffalo Neurosurgery, Inc. has failed to provide these services ordiscriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance in person, or by mail to: UBNS CEO, 40 George Karl Blvd, Suite 200, Williamsville, NY 14221, by fax at 716-218-1077, or by email to: grievance@ubns.com.

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
1-800-68-1019, 800-537-7697 (TDD)

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