1. Policy and Scope
LoDo Pain, LLC (“LoDo Pain”) complies with applicable federal and Arizona civil-rights laws. LoDo Pain does not discriminate against, exclude, or treat individuals less favorably because of race, color, national origin—including limited English proficiency and primary language—age, disability, or sex, consistent with applicable law.
This policy applies to LoDo Pain’s healthcare services, programs, facilities, communications, and patient-access activities.
2. Equal Access to Healthcare Services
LoDo Pain provides healthcare services without unlawful discrimination. Eligibility for treatment and clinical decisions are based on appropriate factors such as:
- Clinical appropriateness;
- Patient safety;
- Available services and operational capacity;
- Provider availability;
- Insurance eligibility, network participation, referral requirements, and authorization requirements;
- Compliance with clinical and administrative policies; and
- Applicable federal and Arizona law.
Nothing in this policy guarantees acceptance into the practice, insurance coverage, authorization, a particular treatment, or the prescribing or continuation of any medication.
3. Assistance for Individuals With Disabilities
LoDo Pain provides reasonable modifications and appropriate auxiliary aids and services when necessary to give individuals with disabilities an equal opportunity to communicate effectively with us and access our services.
Available assistance may include:
- Qualified sign-language interpreters;
- Written information in accessible formats;
- Large-print materials;
- Accessible electronic documents;
- Assistance completing forms; and
- Other reasonable communication accommodations.
Appropriate aids and services are provided free of charge when required by applicable law.
4. Language Assistance
LoDo Pain provides appropriate language-assistance services to individuals whose primary language is not English when necessary to provide meaningful access to our healthcare services.
Language assistance may include:
- Qualified interpreters;
- Telephone or video interpretation;
- Qualified translation of written information; and
- Information provided in languages other than English.
- Required language-assistance services are provided free of charge.
LoDo Pain will not require a patient to provide or pay for their own interpreter when LoDo Pain is legally required to provide one. Except when permitted by law in limited circumstances, LoDo Pain will not rely on minor children, accompanying family members, friends, or unqualified individuals to interpret healthcare information.
5. Requesting Assistance
To request language assistance, disability-related assistance, an accessible format, or a reasonable modification, contact LoDo Pain:
LoDo Pain, LLC P.O. Box 770 Carefree, AZ 85377 Phone: (602) 456-2860 Arizona Relay Service: 711 Fax: (602) 922-2302 Email: info@lodopain.com
Notice Page: https://www.lodopain.com/nondiscriminationandlanguageassistance
Patients are encouraged to request assistance before an appointment when possible so appropriate arrangements can be made. Advance notice is helpful but is not required when the need for assistance could not reasonably have been anticipated.
6. Filing a Grievance With LoDo Pain
An individual who believes LoDo Pain failed to provide required language assistance, disability-related assistance, or a reasonable modification—or otherwise discriminated unlawfully—may submit a grievance to the LoDo Pain Civil Rights Contact.
A grievance may be submitted by mail, telephone, fax, or email using the contact information above. It should include, when available:
- The individual’s name and contact information;
- A description of what occurred;
- The date and location of the incident;
- The names of the individuals involved, if known; and
- The resolution being requested.
LoDo Pain will provide reasonable assistance to anyone who needs help submitting a grievance. The clinic will review the grievance promptly, conduct an appropriate investigation, and communicate the outcome in writing or another accessible format when appropriate.
Filing a grievance will not affect access to medically appropriate care. LoDo Pain prohibits retaliation against anyone who requests assistance, raises a discrimination concern, participates in an investigation, or files a grievance or civil-rights complaint.
7. Filing a Complaint With HHS
A civil-rights complaint may also be filed with the U.S. Department of Health and Human Services, Office for Civil Rights. A patient does not have to complete LoDo Pain’s internal grievance process before contacting the Office for Civil Rights.
Complaints may be submitted electronically through the HHS Office for Civil Rights Complaint Portal https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Complaints may also be submitted by mail or telephone:
U.S. Department of Health and Human Services Office for Civil Rights 200 Independence Avenue SW Room 509F, HHH Building Washington, DC 20201
Phone: 1-800-368-1019 TDD: 1-800-537-7697
Complaint forms and additional information are available at https://www.hhs.gov/ocr/complaints/index.html
8. Notice of Availability of Language Assistance Services and Auxiliary Aids and Services
LoDo Pain provides free language-assistance services to individuals whose primary language is not English when these services are necessary to provide meaningful access to our healthcare services.
LoDo Pain also provides appropriate auxiliary aids and services free of charge when necessary to ensure effective communication with individuals with disabilities. Available assistance may include qualified interpreters, information in accessible electronic formats, large-print materials, audio formats, and other appropriate communication assistance.
To request assistance, call (602) 456-2860, dial 711 for relay services, email info@lodopain.com, or speak with a member of the LoDo Pain team.
English: ATTENTION: If you speak English, free language-assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call (602) 456-2860 (Relay: 711) or speak with your provider.
Español — Spanish: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayudas y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al (602) 456-2860 (Relay: 711) o hable con su proveedor.
Diné Bizaad — Navajo: Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee aká’ánída’áwo’dę́ę́’, t’áá jiik’eh, éí ná hólǫ́. LoDo Pain bich’į’ hodíílnih: (602) 456-2860. TTY/Relay: 711.
Tiếng Việt — Vietnamese: LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ và dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi (602) 456-2860 (Relay: 711) hoặc trao đổi với nhà cung cấp dịch vụ của bạn.
中文 — Traditional Chinese: 注意：**如果您說中文，我們可以為您提供免費語言協助服務。也可以免費提供適當的輔助工具與服務，以無障礙格式提供資訊。請致電 **(602) 456-2860（Relay：711）**或與您的提供者討論。
العربية — Arabic: تنبيه: إذا كنت تتحدث العربية، تتوفر لك خدمات المساعدة اللغوية مجانًا. كما تتوفر المساعدات والخدمات المناسبة لتوفير المعلومات بصيغ يسهل الوصول إليها مجانًا. اتصل بالرقم (602) 456-2860 (Relay: 711) أو تحدث إلى مقدم الخدمة الخاص بك.
Tagalog: PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa (602) 456-2860 (Relay: 711) o makipag-usap sa iyong provider.
한국어 — Korean: 주의: 한국어를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. (602) 456-2860 (Relay: 711)**번으로 전화하거나 서비스 제공업체에 문의하십시오.
Deutsch — German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie (602) 456-2860 (Relay: 711) an oder sprechen Sie mit Ihrem Anbieter.
Srpski / Hrvatski / Bosanski — Serbo-Croatian: PAŽNJA: Ako govorite srpski, hrvatski ili bosanski, dostupne su vam besplatne usluge jezične pomoći. Odgovarajuća pomoćna sredstva i usluge za pružanje informacija u pristupačnim formatima također su dostupni bez naknade. Pozovite (602) 456-2860 (Relay: 711) ili se obratite svom pružatelju usluga.
日本語 — Japanese: 注意：日本語を話される場合、無料の言語支援サービスをご利用いただけます。アクセシブルな形式で情報を提供するための適切な補助支援やサービスも無料でご利用いただけます。(602) 456-2860（Relay：711）**までお電話いただくか、ご利用の事業者にご相談ください。
Français — French: ATTENTION : Si vous parlez français, des services d’assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés permettant de fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le (602) 456-2860 (Relay : 711) ou parlez à votre fournisseur.
Русский — Russian: ВНИМАНИЕ: Если вы говорите на русском языке, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону (602) 456-2860 (Relay: 711) или обратитесь к своему поставщику услуг.
ܠܸܫܵܢܵܐ ܐܵܬܘܿܪܵܝܵܐ — Assyrian: ܙܘܼܗܵܪܵܐ: ܐܸܢ ܐܲܚܬܘܿܢ ܟܹܐ ܗܲܡܙܸܡܝܼܬܘܿܢ ܠܸܫܵܢܵܐ ܐܵܬܘܿܪܵܝܵܐ، ܡܵܨܝܼܬܘܿܢ ܕܩܲܒܠܝܼܬܘܿܢ ܚܸܠܡܲܬܹܐ ܕܗܲܝܲܪܬܵܐ ܒܠܸܫܵܢܵܐ ܡܲܓܵܢܵܐܝܼܬ. ܩܪܘܿܢ ܥܲܠ ܡܸܢܝܵܢܵܐ 602-456-2860. Relay: 711.
فارسی — Persian/Farsi: توجه: اگر به فارسی صحبت میکنید، خدمات کمک زبانی رایگان برای شما در دسترس است. ابزارها و خدمات کمکی مناسب برای ارائه اطلاعات در قالبهای قابل دسترس نیز بهصورت رایگان ارائه میشود. با شماره (602) 456-2860 (Relay: 711) تماس بگیرید یا با ارائهدهنده خدمات خود صحبت کنید.
ไทย — Thai: หมายเหตุ: หากคุณใช้ภาษาไทย เรามีบริการความช่วยเหลือด้านภาษาฟรี นอกจากนี้ยังมีเครื่องมือและบริการช่วยเหลือเพื่อให้ข้อมูลในรูปแบบที่เข้าถึงได้โดยไม่เสียค่าใช้จ่าย โปรดโทรติดต่อ (602) 456-2860 (Relay: 711) หรือปรึกษาผู้ให้บริการของคุณ
9. Policy Administration
LoDo Pain will periodically review this policy and its language-access and accessibility practices. The clinic may revise this policy to reflect changes in applicable law, available services, organizational responsibilities, or regulatory guidance.
The current version will be posted on the LoDo Pain website and made available upon request.