DISCRIMINATION IS AGAINST THE LAW

Affordable Dentures® and Affordable Dentures & Implants® affiliated dental practices (“the Practice”) does not discriminate against any person on the ground of race, color, national origin, age, disability (physical or mental) or sex in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, and in staff and employee assignments to patients.

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, other formats)
• Free language assistance services to people whose primary language is not English, such as:
• Qualified interpreters
• Information written in other languages

If you need these services, contact our Civil Rights Coordinator, Benjamin Mezer, whose contact information appears below.

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 with the Civil Rights Coordinator at:

• Mailing Address:
  • Civil Rights Coordinator
    ATTN: Benjamin Mezer
    629 Davis Drive
    Suite 300
    Morrisville, NC 27560
• Telephone:
  • 1-800-DENTURE (1-800-336-8873)

You can file a grievance in person or by mail or email. If you need help filing a grievance, the Civil Rights Coordinator 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/smartscreen/main.jsf or by mail or email at:

• Email Address:
  • OCRComplaint@hhs.gov
• Mailing Address:
  • Centralized Case Management Operations
    U.S. Department of Health and Human Services
    200 Independence Avenue, SW
    Room 509F, HHH Building
    Washington, DC 20201

Complaint forms are available at https://www.hhs.gov/sites/default/files/ocr-cr-complaint-form-package.pdf.

Notice Of Availability Of Language Assistance Services And Auxiliary Aids & Services

Affordable Dentures® and Affordable Dentures & Implants® affiliated dental practices (the Practice) provides free aids and services to people with disabilities or limited English proficiency to communicate effectively with us, such as TTY/TDD calls or written information in suitable formats.

The Practice provides free language services to people whose primary language is not English through qualified interpreters. These resources may be obtained by contacting the Civil Rights Coordinator at 1-800-DENTURE (1-800-336-8873) (or by first dialing [**] for hearing impaired individuals to be connected through a relay service operator).

Notice of Rights Under Federal Conscience and Nondiscrimination Laws

Affordable Dentures® and Affordable Dentures & Implants® affiliated dental practices (“the Practice”) complies with applicable Federal health care conscience protection statutes applicable to dental practices, including the Church Amendments, 42 U.S.C. 300a–7.

You may have rights as a provider, patient, or other individual under these Federal statutes, which prohibit coercion or other discrimination on the basis of conscience, whether based on religious beliefs or moral convictions, in certain circumstances.

If you believe that the Practice has violated any of these provisions, you may file a 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/smartscreen/main.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

1–800–368–1019

800–537–7697 (TDD)

or by email at ocrmail@hhs.gov.

Complaint forms and more information about Federal conscience protection laws are available at: https://www.hhs.gov/conscience/your-protections-against-discrimination-based-on-conscience-and-religion/index.html.