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Hamburg Physical Therapy

230 Buffalo St. | Hamburg, NY 14075

716-648-5211

(716) 649-0075
hamburgpt@yahoo.com

Hours

Mon	8:00 am - 7:00 pm
Tues	8:00 pm - 1:00 pm
Wed	8:00 am - 7:00 pm
Thurs	8:00 am - 5:00 pm
Fri	Closed

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Member of Paragon PT Group

Notice of Nondiscrimination

Right to Confident Communications

You have the right to request to receive communications from us about your health and related issues in a particular manner or at a certain location. For example, you may ask that we contact you at work rather than at home. We will accommodate all reasonable requests made in writing. We must accommodate your request if it is reasonable.

Right to a Paper Copy of This Notice

You have the right to a paper copy of this notice. You may ask us to give a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice.

Notice of Nondiscrimination

Hamburg Physical Therapy complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Hamburg Physical Therapy does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

Hamburg Physical Therapy provides free aids and services to people with disabilities to communicate effectively with us if these are not already provided by the patient’s insurance company or other sources. These may include: qualified sign language interpreters, written information in other formats (ie large print, audio, electronic formats); provides free language services to people whose primary language is not English, such as: qualified interpreters, information written in other languages.

If you believe that Hamburg Physical Therapy 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: Hamburg Physical Therapy, Compliance Director 230 Buffalo St. Hamburg, NY 14075, 716-648-5211, hamburgpt@yahoo.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, DC 20201, 1-800-368-1019, 1-800-537-7697(TDD).

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