OCR NOTICE OF NONDISCRIMINATION


SOURCE: HHS Office for Civil Rights

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

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

RIVER RIDGE DENTAL CARE

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)
Provide 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 RIVER RIDGE DENTAL CARE.

If you believe that RIVER RIDGE DENTAL CARE has failed to provide these services to discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

RIVER RIDGE DENTAL CARE
700 North 3rd St
Burlington, IA 52601
319-752-1840
Email: administration@riverridgedentalcare.com
You can file a grievance in person, by fax or by email. If you need help filing a grievance, RIVER RIDGE DENTAL CARE 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, 1-800-537-7697 (TDD)

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