Dothan Surgery Center complies with applicable civil rights laws and does not discriminate on the basis of race, color,
national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity). We do not
exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.
We provide free aids and services to help you communicate with us. You can ask for interpreters and/or for
communications in other languages or formats such as large print. We also provide reasonable modifications for
persons with disabilities.

If you need these services, call the toll-free number 800-815-2077

If you believe that we failed to provide these services or discriminated in another way on the basis of race, color,
national origin, age, disability, or sex, you can send a complaint to the Civil Rights Coordinator:

Dothan Surgery Center Civil Rights Coordinator
1450 Ross Clark Cir STE 4
Dothan, AL 36301
Attn: Regulatory Compliance
[email protected]

If you need help filing a complaint, call the toll-free number at 1-800-815-2077

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for
Civil Rights:

Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Phone: 1-800-368-1019, 800-537- 7697 (TDD)
Mail: U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHHBuilding
Washington, D.C. 20201

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