Notice of Non-Discrimination
Fletcher, NC

Fletcher Family Dentistry - Dr. Brent Barroso-Bernier complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Fletcher Family Dentistry - Dr. Brent Barroso-Bernier does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Fletcher Family Dentistry - Dr. Brent Barroso-Bernier:

• 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 languages

If you need these services, contact Fletcher Family Dentistry - Brent Barroso-Bernier.

If you believe that Fletcher Family Dentistry - Brent Barroso-Bernier 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: Fletcher Family Dentistry - Brent Barroso-Bernier, 1234 N Berendo Street, , Los Angeles, California 90029, Phone: 123312312, (TTY 123312312), Fax: 123123123, Email: . You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Fletcher Family Dentistry - Brent Barroso-Bernier 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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ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 123312312 (TTY: 123312312).

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 123312312 (TTY: 123312312).

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 123312312 （TTY：123312312）。

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 123312312 (TTY: 123312312)번으로 전화해 주십시오

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 123312312 (TTY: 123312312).

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 123312312 (رقم هاتف الصم والبكم: 123312312).

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 123312312 (телетайп: 123312312).

સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 123312312 (TTY: 123312312).

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم -xxxx-xxx-xxx) رقم .(xxx-xxx-xxxx-1 :والبكم الصم ھ

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 123312312 (TTY: 123312312).

ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 123312312 (TTY: 123312312).

ध्यान द: यद आप हदी बोलते ह तो आपके िलए मुफ्त म भाषा सहायता सेवाएं उपलब्ध ह। 123312312 (TTY: 123312312) पर कॉल कर ।

ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 123312312 (ATS : 123312312).

ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε 123312312 (TTY: 123312312).

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 123312312 (TTY: 123312312).