Notice Informing Individuals About Nondiscrimination and Accessibility
Discrimination is against the law. The Company complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin (including primary language), age, disability, or sex (including pregnancy, sexual orientation, and gender identity). The Company does not exclude people, or treat them less favorably because of race, color, national origin (including primary language), age, disability, or sex (including pregnancy, sexual orientation, and gender identity).
The Company shall provide:
- Free aids and services to people with disabilities to help them communicate better, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
- Free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, please call our Patient Relations Department between 8:30 a.m. to 5 p.m PST at (310) 953-3125 or (800) 673-1889. If you believe that the Company has failed to provide these services or discriminated in another way on the basis of one of the characteristics listed above, you can file a grievance with the Company’s Patient Relations Department at the number above and tell them that you need help filing a grievance. You can file a grievance by phone, in writing, in person, or electronically:
- By phone: Call our Patient Relations Department Monday through Friday, 8:30 a.m to 5 p.m (PST) at (310) 953-3125 or (800) 673-1889.
- In writing: Fill out a complaint form or write a letter and send it to:
InterDent Service Corporation/ Grievances, 2260 E. Imperial Hwy, 8th Floor, El Segundo, CA 90245 - Electronically: email ComplianceHelp@interdent.com
You can also file a civil rights complaint with the U.S. Department of Health & Human Services, Office for Civil Rights:
- By phone: Call 1-800-368-1019. If you cannot speak or hear well, please call TTY/TDD 1-800-537-7697.
- In writing: Fill out a complaint form or send a letter to:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. - Electronically: Visit the Office for Civil Rights Complaint Portal
at http://ocrportal.hhs.gov/ocr/portal/lobby.jsf.