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: 

                Ruth Peterman, Administrator
                3801 Glenkerry Ct., Suite A
                Portage, MI 49024
                Telephone # 269-323-1527
                Fax # 269-323-1670

You can file a grievance in person or by mail, or fax. If you need help filing a grievance, our administrator, Ruth Peterman, 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.