Advanced Oral Surgery Nondiscrimination Statement
Discrimination is Against the Law
Advanced Oral Surgery complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Advanced Oral Surgery does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Advanced Oral Surgery:
• 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 ( e.g. large print, audio, electronic)
• 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 the office manager.
If you believe that Advanced Oral Surgery 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: Office Manager, 200 E. Buffalo Street, #304, Ithaca, NY 14850 (607) 277-7007 (phone); (607) 277-5434 (fax). You can file a grievance in person or by mail, or fax. If you need help filing a grievance, the office manager 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/oc r/office/file/index.html.