Diagnostic Laboratory Services, Inc (DLS) complies with applicable Federal civil rights laws and does not discriminate, exclude, or treat individuals differently on the basis of race, color, national origin, age, disability, or sex, including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity, and sex stereotypes.
DLS provides reasonable modifications for individuals with disabilities and appropriate auxiliary aids and services, including qualified interpreters for individuals with disabilities and information in alternate formats, such as braille or large print, free of charge and in a timely manner, when such modifications, aids, and services are necessary to ensure accessibility and an equal opportunity to participate to individuals with disabilities. DLS provides language assistance services, including electronic and written translated documents and oral interpretation, free of charge and in a timely manner, when such services are a reasonable step to provide meaningful access to an individual with limited English proficiency. If you are at one of our Patient Service Centers or in contact with our Customer Service or Billing departments, they are able to obtain oral interpretation assistance. Otherwise, for help with these services, contact the DLS Vice President of Risk Management and Quality Improvement at 1-808-485-6625 (phone), 1-808-593-8357 (fax), or VP-RMQI@dlslab.com (email).
If you believe that Diagnostic Laboratory Services, Inc has failed to provide these services, or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity, and sex stereotypes, you may file a grievance with the 1557 Coordinator:
DLS Vice President of Risk Management and Quality Improvement
99-859 Iwaiwa St.
Aiea, HI 96701
Phone: 1-808-485-6625
Fax: 1-808-593-8357
Email: VP-RMQI@dlslab.com
You may file a grievance in person or by mail, fax, or email. You may 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, Phone: 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at https://www.hhs.gov/ocr/complaints/index.html.
Attention: If you speak English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call1-808-485-6625 or speak to our staff at our Patient Service Centers, Customer Service or Billing departments, who are able to obtain oral interpretation assistance.
Translations
View PDF here:
https://dlslab.com/documents/patient-notices/notice-of-nondiscrimation.pdf
