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  • Home
  • About
  • Preparing for Surgery
    • Preparing for Surgery
    • What to bring day of surgery
    • Frequently Asked Questions
  • Patient Resources
    • Consents
    • Quality and Safety
    • Patient Rights & Responsibilities
    • Notice of HIPAA/Privacy Practices
    • Non-Discrimination Notice
    • Ownership Disclosure
    • Medical Release Form
    • Directions
  • Billing Resources
    • Accepted Insurance Plans
    • Care Credit
    • Cost Estimator
    • BCBS Coordination of Benefits Form
    • UHC Coordination of Benefits Form
    • Anesthesia & Pathology Billing
  • Contact
  • One Medical Passport
  • Directions
  • Online Bill Pay
  • 630 758 8800
  • COVID-19
  • Home
  • About
  • Preparing for Surgery
    • Preparing for Surgery
    • What to bring day of surgery
    • Frequently Asked Questions
  • Patient Resources
    • Consents
    • Quality and Safety
    • Patient Rights & Responsibilities
    • Notice of HIPAA/Privacy Practices
    • Non-Discrimination Notice
    • Ownership Disclosure
    • Medical Release Form
    • Directions
  • Billing Resources
    • Accepted Insurance Plans
    • Care Credit
    • Cost Estimator
    • BCBS Coordination of Benefits Form
    • UHC Coordination of Benefits Form
    • Anesthesia & Pathology Billing
  • Contact

Non-Discrimination Notice

Elmhurst Outpatient Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, gender identity or expression. Elmhurst Outpatient Surgery Center provides free aids and language services noted below to people with disabilities or whose primary language is not English:

  • Qualified sign language interpreters
  • Written information in multiple formats including large print, audio, accessible electronic formats, or other formats for visually impaired individuals
  • Qualified interpreters or language line
  • Information written in other languages

If you believe that Elmhurst Outpatient 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 by contacting:

Julie Nelson, Executive Director
Elmhurst Outpatient Surgery Center
1200 S York Road Suite 1400
Elmhurst IL 60126
Phone: (630) 758-8801
jnelson@eosc.org

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 http://www.hhs.gov/ocr/office/file/index.html

Contact Us

1200 S. York, Road Suite 1400
Elmhurst, IL 60126

Main Phone : 630 758 8800
Main Fax : 630 758 8805
Billing Questions : 913 353 6507

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