Dr. Jane Skuben D.D.S. Family Dentistry
NOTICE OF NONDISCRIMINATION
Source: HHS Office for Civil Rights
Informing Individuals About Nondiscrimination and Accessibility Requirements
and Nondiscrimination Statement: Discrimination is Against the Law
Jane Skuben DDS Family Dentistry complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Jane Skuben DDS Family Dentistry does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Jane Skuben DDS Family Dentistry 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)
Jane Skuben DDS 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 Jane Skuben DDS Family Dentistry. If you believe that Jane Skuben DDS Family Dentistry 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: Jane Skuben DDS Family Dentistry, 1690 N. Placentia Ave. Fullerton, CA 92831 714-528-0600, frontdesk@skubendenstistry.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Jane Skuben DDS Family Dentistry 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, DC 20201, 1-800-868-1019, 800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
Spanish:
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.
Llame al 1-714-528-0600
Chinese:
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1-714-528-0600。
Vietnamese:
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.
Gọi số 1-714-528-0600.
Serbo-Croatian:
OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno.
Nazovite 1-714-528-0600.
German:
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.
Rufnummer: 1-714-528-0600.
Arabic:
1-714-528-0600-1ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم
Laotian:
ຊາບ: ຖ້ າວ່ າ ທ່ ານເ ວ້ າພາສາ ລາວ, ການໍບິລການຊ່ ວຍເຫຼື ອດ້ ານພາສາ, ໂດຍໍ ່ບເສັ ຽຄ່ າ, ແມ່ ນມີ
ພ້ ອມໃຫ້ທ່ ານ. ໂທຣ1-714-528-0600.
Korean:
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.
1-714-528-0600번으로 전화해 주십시오.
Hindi:
ध्यान दें: यदद आप द िंदी बोलते ैंतो आपके ललए मुफ्त मेंभाषा स ायता सेवाएिंउपलब्ध ैं।
1-714-528-0600पर कॉल करें।
French:
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.
Appelez le 1-714-528-0600.
Pennsylavanian Dutch:
Wann du Deitsch schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-714-528-0600.
Thai:
เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-714-528-0600.
Tagalog:
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo
ng tulong sa wika nang walang bayad. Tumawag sa 1-714-528-0600.
Russian:
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные
услуги перевода. Звоните 1-714-528-0600