Patient Rights & Compliance

Privacy Policy

IDENTITY COMPLIANCE PROGRAM

Effective May 1, 2009, Fox Valley Orthopedics must comply with the Fair and Accurate Credit Transactions Act of 2003 (FACTA) as amended in October 2007 to include Red Flag and Address Discrepancy Requirements. This Act is designed to protect your personal health and financial data.

Therefore, as of May 1, 2009, we are asking all of our patients to provide a government-issued photo ID or other proof of ID at registration.

Thank you for your cooperation.

Identity Compliance Policy
Frequntly Asked Questions on Identity Compliance

PRIVACY POLICY

NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

EFFECTIVE DATE: September 23, 2003

Download Notice of Privacy Practices

Nondiscrimination and Accessibility Requirements

Nondiscrimination Statement: Discrimination is Against the Law

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

Fox Valley Orthopedics:

• 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, , accessible electronic formats, other formats)
• 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 John Brady, CEO

If you believe that Fox Valley Orthopedics 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:
John Brady, CEO • Fox Valley Orthopedics
2525 Kaneville Road • Geneva IL 60134
Phone: 630-524-0123 (TTY available) • Fax: 884-877-1902
Or contact John if you need help filing a grievance

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 online, 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

Fox Valley Orthopedics complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.
注意：如果您使用繁體中文，您可以免費獲得語言援助服務。

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.

إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-xxx-xxx-xxxx (رقم

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.

સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે.

خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti.

ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं।

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.

ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν.

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.

Download Nondiscrimination and Accessibility Requirements

ADMINISTRATIVE AND FINANCIAL POLICY

We realize that medical financial and insurance-related issues can be confusing and even stressful. Our hope is that by providing you with our Patient Administrative and Financial Policy details in advance, we can prevent any misunderstanding or frustration at the time of your visit.

Download Patient Administrative and Financial Policy