Western New York Dental Group (the “Practice”) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. The Practice does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. The Practice:
- 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)
- Provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
Western New York Dental Group (the “Practice”) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. The Practice does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. The Practice:
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) 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, please contact the office prior to your appointment. If you believe that the Practice 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 by mail :
Civil Rights Coordinator 2430 North Forest, Suite 210 , Getzville, NY 14068 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 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 509F, HHH Building Washington, DC 20201 Toll Free: 1-800-868-1019 800 537-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Language Assistance Services – New York ATTENTION: If you speak a language listed below, language assistance services, free of charge, are available to you. languages CMS, Top 15 non-English Languages by State is available at: http://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/Appendix-A-Top-15.pdf Translated taglines available at: http://www.hhs.gov/civil-rights/for-individuals/section-1557/translated-resources/index.html
