Your rights
Nondiscrimination and language help
Ostrom Dental complies with applicable federal civil rights laws. We don’t discriminate on the basis of race, color, national origin, age, disability or sex.
Our commitment
Ostrom Dental complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. We do not exclude people or treat them differently because of any of these.
Help we offer at no charge
Qualified sign language interpreters, and written information in other formats such as large print or audio, for people with disabilities
Qualified interpreters, and information written in other languages, for people whose first language is not English
To ask for help, call or text (412) 555-0162 or tell our front desk when you book.
Language help
Español
ATENCIÓN: Si habla español, tiene a su disposición servicios de asistencia lingüística sin costo. Llame al (412) 555-0162.
繁體中文
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 (412) 555-0162。
नेपाली
ध्यान दिनुहोस्: तपाईंले नेपाली बोल्नुहुन्छ भने तपाईंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ। फोन गर्नुहोस् (412) 555-0162।
العربية
ملحوظة: إذا كنت تتحدث اللغة العربية، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم (412) 555-0162.
Tiếng Việt
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (412) 555-0162.
Русский
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (412) 555-0162.
If you think we treated you unfairly
If you believe Ostrom Dental did not provide these services or discriminated against you in another way, you can file a grievance with our Section 1557 coordinator: Linda Kowalski, Office Manager, Ostrom Dental, 3600 Butler Street, Suite 2, Pittsburgh, PA 15201 (Sample address), (412) 555-0162, hello@example.com. You can file in person, by mail or by email, and Linda can help you write it.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, online at ocrportal.hhs.gov, by mail at 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 20201, or by phone at 1-800-368-1019 (TDD 1-800-537-7697).
Template text
List the languages most spoken in your state (HHS publishes them each year), and review this page with your compliance advisor before publishing.
This template helps you follow common rules for dental websites in the US. It is not legal advice.