Notice of Nondiscrimination

Discrimination Is Against the Law

This dental office complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. This dental office does not exclide people or treat them differently because of race, color, national origin, age, disability or sex.

This dental office provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters or written information in other formats (large print, audio, accessible electronic formats, other formats).

This dental office provides free language services to people whose primary language is not English, such as qualified interpreters or information written in other languages.

If you believe this dental office 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 U.S. Department of Health and Human Services, Office of Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at:

http://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 509 F, 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.

This notice is based on a standard notice provided by the U.S. Department of Health and Human Services Office for Civil Rights and is required under Section 1557 of the Affordable Care Act.