NOTICE OF NONDISCRIMINATION

OCR NOTICE OF NONDISCRIMINATION

 
Source: HHS Office for Civil Rights

 
WORLD PEDIATRIC DENTAL

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

 

WORLD PEDIATRIC DENTAL

does not exclude people or treat them differently because of race, color, national origin, age,
disability, or sex.

 

WORLD PEDIATRIC DENTAL:

• 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, contact DOUGLAS VOGT.

 
If you believe that WORLD PEDIATRIC DENTAL

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:

 
DOUGLAS VOGT
18707 HARDY OAK BLVD, STE 305 SAN ANTONIO, TX 78258
TEL: 210-888-0700
FAX: 210-625-7398
FEEDBACK@WORLDPEDIATRICDENTAL.COM

 
You can file a grievance in person or by mail, fax, or email. If you need help filing a
grievance, DOUGLAS VOGT 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, DC 20201
Toll Free: 1-800-868-1019,
800-537-7697 (TDD).

 

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

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