Section 1557 of the Affordable Care Act
Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement: Discrimination is Against the Law
Associates in Periodontics complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Associates in Periodontics does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Associates in Periodontics:
- 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)
- Provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other language
If you need these services, contact Jennifer Bonner
If you believe that Associates in Periodontics 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:
Jennifer Bonner, Business Administrator
1775 Williston Road, Suite 250
South Burlington, Vermont 05403
United States
Regular: (802) 863-5447 / Fax: (802) 863-1018
Email: aipbusiness@comcast.net
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Jennifer Bonner, Business Administrator 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, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
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