Notice of Nondiscrimination

 NOTICE OF NONDISCRIMINATION

Source: HHS Office for Civil Rights

Hamilton Orthodontics complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Hamilton Orthodontics does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Hamilton Orthodontics:

  • 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)
  • 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 Anne Brooke Lazorik, Civil Rights Coordinator

If you believe that Hamilton Orthodontics 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:

Anne Brooke Lazorik, Civil Rights Coordinator

7482 Waterside Crossing Blvd, Ste. 201, Denver, NC 28037

Phone: 704-822-0320

Fax: 704-822-8097

Email: Frontdesk@hamiltonsmiles.com

You can file a grievance in person or by mail, fax, or email.  If you need help filing a grievance, Anne Brooke Lazorik, 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 http://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)

 

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