Last Updated: July 31, 2026

Birch Pain And Spine Group complies with applicable federal and California civil rights laws. We do not exclude people, deny benefits or services, or otherwise discriminate in the provision of healthcare services on the basis of race, color, national origin, ancestry, ethnic group identification, limited English proficiency, primary language, religion, age, sex, pregnancy, childbirth or related medical conditions, gender, gender identity, gender expression, sexual orientation, marital status, physical or mental disability, medical condition, genetic information, citizenship, immigration status, or any other status protected by applicable law.

This policy applies to access, admission, scheduling, evaluation, treatment, participation in programs and services, and all other interactions with Birch Pain And Spine Group.

1. Language Assistance Services

Birch Pain And Spine Group provides language assistance services free of charge and in a timely manner when needed to provide meaningful access to our healthcare services. Available services may include:

• Qualified oral interpreters
• Written translations of important information
• Assistance communicating with clinic staff and healthcare providers

Patients will not be required to provide or pay for their own interpreter when qualified language assistance is required by applicable law.

2. Disability Access and Effective Communication

Birch Pain And Spine Group provides reasonable modifications and appropriate auxiliary aids and services free of charge and in a timely manner when necessary to ensure that individuals with disabilities have an equal opportunity to access and participate in our healthcare services.

Available aids and services may include:

• Qualified sign language interpreters
• Information in large print
• Accessible electronic documents
• Written, audio, or other alternative formats
• Other reasonable communication assistance or modifications

3. Requesting Assistance or an Accommodation

To request language assistance, disability-related assistance, an auxiliary aid, an accessible format, or a reasonable modification, please notify a staff member or contact:

Please make requests as early as reasonably possible so that appropriate arrangements can be made. Birch Pain And Spine Group will consider requests based on the individual’s communication and accessibility needs.

4. Filing a Grievance With Birch Pain And Spine Group

If you believe Birch Pain And Spine Group failed to provide language assistance, an appropriate auxiliary aid, an accessible service, or a reasonable modification, or discriminated against you in another way, you may submit a grievance to our Civil Rights and Section 1557 Contact.

Grievances may be submitted verbally or in writing using the contact information above. When possible, please include:

• Your name and contact information
• A description of what happened
• The date or approximate date of the incident
• The basis of the alleged discrimination
• The resolution or assistance you are requesting

Birch Pain And Spine Group will review grievances promptly and equitably. Assistance submitting a grievance is available upon request. Information will be kept confidential to the extent permitted by law and consistent with the need to investigate and resolve the grievance.

5. Filing a Federal Civil Rights Complaint

You may also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

Complaints may be submitted electronically through the
Office for Civil Rights Complaint Portal
or by contacting:

6. Filing a California Civil Rights Complaint

Complaints involving discrimination by a California business may also be submitted to the California Civil Rights Department.

7. No Retaliation

Birch Pain And Spine Group prohibits retaliation against any person for requesting language assistance, requesting an accommodation or modification, filing a grievance or civil rights complaint, participating in an investigation, or exercising any right protected by applicable civil rights law.

8. Notice of Available Language and Accessibility Services

A current copy of this notice is available at
/nondiscrimination-policy.