OCR Notice of Nondiscrimination

OCR NOTICE OF NONDISCRIMINATION

Source:  HHS Office for Civil Rights

 

KALAMAZOO ORAL & MAXILLOFACIAL SURGERY, P.C.

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

KALAMAZOO ORAL & MAXILLOFACIAL SURGERY, P.C.

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

 

KALAMAZOO ORAL & MAXILLOFACIAL SURGERY, P.C.:

 

  • Provides free aids and service to people with disabilities to communicate effectively with us, such as:

                Qualified sign language interpreters

                Written information in other formats (large print, 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 our Scheduling Department.

 

If you believe that Kalamazoo Oral & Maxillofacial Surgery, P.C., 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:

 

                Nancy Simonelli, Office Manager

                3801 Glenkerry Ct., Suite A

                Portage, MI 49024

                Telephone # 269-323-1527

                Fax # 269-323-1670

                Email:  officemanager@kaloms.com

 

You can file a grievance in person or by mail, fax, or email.  If you need help filing a grievance, our office manager, Nancy Simonelli, 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.