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

Little Pine Pediatrics, LLC :

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)

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 Dr. Ronald Emerick

If you believe that Little Pine Pediatrics, LLC 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: Dr. Ronald Emerick, Civil Rights Coordinator, 1702 S. Jefferson St. Perry, FL 32348, Telephone Number: (855) 577-5437, TTY: (855) 577-5437, Fax: (850) 838-2140, Email: kstroudlpp@gmail.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Dr. Ronald Emerick 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 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, 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.

Little Pine Pediatrics, LLC complies with Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. For assistance, please call 1-855-577-5437 (TTY: 1-855-577-5437).


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เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-855-577-5437 (TTY: 1-855-577-5437).

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Pediatrician - Perry
1702 S. Jefferson St.

Pediatrician - Madison
194 Northeast Hancock Ave.
Madison, FL 32340

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