Associates in Dentistry

NON-DISCRIMINATION POLICY

Associates in Dentistry-Charles L. Kincaid DDS PA dentists and staff complies with applicable Federal Civil Rights Laws and does not and shall not discriminate against people on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, military status, or any other basis prohibited by federal, state, or local law, in any of its activities or operations.

Associates in Dentistry-Charles L. Kincaid DDS PA 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)

-Information written in other languages

If you need these services, please contact Associates in Dentistry at (785)843-4333

If you believe that Associates in Dentistry - Charles L. Kincaid DDS PA 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: Claudia Kincaid, Office Manager, 306 E 23rd St, Lawrence, KS 66046, Phone: (785)843-4333, Fax:(785)843-1218, E-mail:manager@associatesindentistry.net

You can file a grievance in person or by mail, fax or e-mail. If you need help filing a grievance, Claudia Kincaid is available to help you.

You can also file a civil rights complain 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/cp/complaint_frontpage.jsf or by mail of phone at:

U.S. Department of Health and Human Services

200 Independence Ave, SW

Room 509F, HHH Building

Washington, D.C. 20201

1-800-368-1019, 1-800-537-7697 (TDD)

Complaint Forms are available at: http://www.hhs.gov/ocr/filing-with-ocr/index.html

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-785-843-4333.

注意:如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-785-843-4333

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-785-843-4333

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-785-843-4333

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-785-843-4333

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-785-843-4333

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-785-843-4333

ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-785-843-4333

Ntị: Ọ bụrụ na asụ Ibo, asụsụ aka ọasụ n’efu, defu, aka. Call 1-785-843-4333

AKIYESI: Bi o ba nsọ èdè Yorùbú ọfé ni iranlọwọ lori èdè wa fun yin o. Ẹ pe ẹrọ-ibanisọrọ yi 1-785-843-4333

4333-843-785-1دار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں .)

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-785-843-4333

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-785-843-4333