Notice of Nondiscrimination

Kingwood Family Dental complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age disability, or sex.  Kingwood family Dental does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

 

Kingwood Family Dental:

 

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 Linda or Tracy

 

If you believe that Kingwood Family Dental 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 Linda or Tracy

 

430 Morgantown Street, Kingwood, WV  26537

Phone (304) 329- 3142

Fax (304) 329-0700

E-mail kfdental@hotmail.com

 

If you need help filing a grievance, Linda or Tracy are 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

 

By mail or phone at: 

U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201

1-800-869-1019, 1-800-537-7697 (TDD)

 

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