OCR NOTICE OF NONDISCRIMINATION

OCR NOTICE OF NONDISCRIMINATION

Source: HHS Office for Civil Rights

Central Coast Pediatric Dental Group

complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Central Coast Pediatric Dental Group

does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Central Coast Pediatric Dental Group:

  • 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 Isela Burgos.

If you believe that Central Coast Pediatric Dental Group 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:

Isela Burgos, Human Resource Manager

631 E.Alvin Drive, Suite C

831-442-8878

Fax 831-443-4611

Email: Iselab@ccpdg.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Isela Burgos, Human Resource 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, DC 20201

Toll Free: 1-800-868-1019, 800-537-7697 (TDD).

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