Notice of Nondiscrimination

Notice of Nondiscrimination

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

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

Hamilton & Whitecotton Orthodontics:

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: Anna Cline, Civil Rights Coordinator

If you believe that Hamilton & Whitecotton 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:

Anna Cline, Hamilton & Whitecotton Orthodontics                                            7482 Waterside Crossing Blvd., Ste 201, Denver, NC 28037                         Phone: 704-822-0320 / Fax 704-822-8097                                                     Email: frontdesk@LKNdenverbraces.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Anna Cline 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.

(704) 822-0320