Discrimination Policy

Columbus Aesthetic and Plastic Surgery, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Columbus Aesthetic and Plastic Surgery, Inc. does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Columbus Aesthetic and Plastic Surgery, Inc. 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, other formats)

Columbus Aesthetic and Plastic Surgery, Inc. provides free language services to people whose primary language is not English, such as Information written in other languages.

If you need these services, contact Columbus Aesthetic and Plastic Surgery, Inc.’s Compliance Officer.

• Name: Kathy Borkowski

• Mailing Address: 5005 Arlington Centre Blvd, Upper Arlington, OH 43220

• Telephone number: 614-246-6900  Fax: 614-246-6909

• Email: kborkowski@columbusplasticsurgery.com

If you believe that Columbus Aesthetic and Plastic Surgery, Inc. 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 the practice’s Compliance Officer. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Compliance Officer 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, or 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 online.

Columbus Aesthetic and Plastic Surgery, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.