Discrimination is Against the Law

Same Day Surgery Center complies with applicable Federal civil rights laws and does not
discriminate on the basis of race, color, national origin, age, disability, or sex (consistent with the
scope of sex discrimination described at 45 CFR § 92.101(a)(2)
Same Day Surgery Center does not exclude people or treat them less favorably because of race,
color, national origin, age, disability, or sex.

• Same Day Surgery Center provides people with disabilities free aids and services to communicate effectively with us, such as: Qualified interpreters Written information in other formats (large print, audio, accessible electronic formats, other formats) • Same Day Surgery Center 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, please contact Same Day Surgery Center Staff at 605-755-9995 or 605-755-9930.

If you believe that Same Day Surgery Center 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:
Vice President of Human Resources (Monument Health)
353 Fairmont Boulevard, Rapid City, SD 57701
Phone- 755-5510, Option 0, Fax: 605-755-9036
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the
Vice President of Human Resources (Monument Health) 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
Phone:1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html