NOTICE OF NONDISCRIMINATION

Source: HHS Office for Civil Rights

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

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

Fairbanks Orthodontic 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 Bre Waters, Practice Manager.

If you believe Fairbanks Orthodontic 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:

Bre Waters, Practice Manager

1919 Lathrop St. Suite 102

Fairbanks, AK 99701

(907) 452-2939 phone

(907) 451-7330 fax

info@myalaskabraces.com

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Bre Waters 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 of 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.gov/ocr/office/file/index.html