Notice of Nondiscrimination | Grand Rapids Dental
Alexandra Dodds DDS complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Alexandra Dodds DDS does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Alexandra Dodds DDS:
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 Deb Henst
If you believe that Alexandra Dodds DDS 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: Deb Henst , Office Manager, 2609 Breton Rd SE, Grand Rapids, MI, Telephone Number: 616-245-3205, TTY: 1-616-245-3205, Fax: 616-245-7270, Email: office@renewdentalgr.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Deb Henst 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:
Notice of Nondiscrimination
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
Renew Family Dental 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 1-616-245-3205 (TTY: 1-616-245-3205).
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-616-245-3205 (TTY: 1-616-245-3205).
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ملØوظة: إذا كنت تتØدث اذكر اللغة، Ùإن خدمات المساعدة اللغویة تتواÙر لك بالمجان. اتصل برقم 1-616-245-3205) رقم .(1-616-245-3205 :والبكم الصم Ú¾
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ há»— trợ ngôn ngữ miá»…n phí dành cho bạn. Gá»i số 1-616-245-3205 (TTY: 1-616-245-3205).
KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-616-245-3205 (TTY: 1-616-245-3205).
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UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpÅ‚atnej pomocy jÄ™zykowej. ZadzwoÅ„ pod numer 1-616-245-3205 (TTY: 1-616-245-3205).
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-616-245-3205 (TTY: 1-616-245-3205).
ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-616-245-3205 (TTY: 1-616-245-3205).
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OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jeziÄke pomoći dostupne su vam besplatno. Nazovite 1-616-245-3205 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 1-616-245-3205).
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-616-245-3205 (TTY: 1-616-245-3205).