Our Commitment
Alvin-Manvel Family Clinic ("AMFC") complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. AMFC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Section 1557 of the Affordable Care Act
This notice is provided in accordance with Section 1557 of the Affordable Care Act. AMFC provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats)
AMFC also 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, contact us at (832) 532-4426.
How to File a Civil Rights Complaint
If you believe that AMFC 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:
Alvin-Manvel Family Clinic — Civil Rights Coordinator23869 W State Highway 6, Suite D
Alvin, TX 77511
Phone: (832) 532-4426
Email: info@amfclinic.com
You can file a grievance in person, by mail, or by email. If you need help filing a grievance, our Civil Rights Coordinator 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 ocrportal.hhs.gov, or by mail or phone at:
U.S. Department of Health and Human Services200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
Phone: 1-800-368-1019
TDD: 1-800-537-7697
Complaint forms are available at www.hhs.gov/ocr/office/file/index.html.
Language Assistance
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (832) 532-4426.
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (832) 532-4426.