Notice of Non-Discrimination

Elite Dentistry of Johnstown, PC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Elite Dentistry of Johnstown, PC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Elite Dentistry of Johnstown, PC

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
  • Written information in other formats (audio, 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 our office at 814-535-5244.

If you believe that Elite Dentistry of Johnstown, PC 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: Civil Rights Coordinator, 1390 Eisenhower Blvd. Johnstown, PA 15904, Tel:814-535-5244, Fax: 814-536-2474, Email: purseldental@edpsmiles.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance our office staff 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 1-877-737-4999 (TTY: 1-877-737-4999).

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 1-877-737-4999 (TTY: 1-877-737-4999).

Vietnamese

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-877-737-4999 (TTY: 1-877-737-4999).

Russian

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-877-737-4999. (телетайп: (TTY: 1-877-737-4999).

Pennsylvania Dutch

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: 1-877-737-4999 (TTY: 1-877-737-4999).

Korean

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-877-737-4999 (TTY: 1-877-737-4999).번으로 전화해 주십시오.

Italian

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-877-737-4999 (TTY: 1-877-737-4999).

Arabic

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم رقم:والبكم الصم ھ 1-877-737-4999 (TTY: 1-877-737-4999).

French

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-877-737-4999 (TTY: 1-877-737-4999).

German

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-877-737-4999 (TTY: 1-877-737-4999).

Gujarati

�ચુ ના: જો તમે�જરાતી બોલતા હો, તો િન:�લ્કુ ભાષા સહાય સેવાઓ તમારા માટ�ઉપલબ્ધ છ. ફોન કરો 1-877-737-4999 (TTY: 1-877-737-4999).

Polish

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-877-737-4999 (TTY: 1-877-737-4999).

French Creole

ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. 1-877-737-4999 (TTY: 1-877-737-4999).

Mon-Khmer, Cambodian

្របយ័ត�៖ េបើសិន�អ�កនិ�យ ��ែខ� រ, េស�ជំនួយែផ�ក�� េ�យមិនគិតឈ� �ល គឺ�ច�នសំ�ប់បំេរ �អ�ក។ ចូរ ទូរស័ព� 1-877-737-4999 (TTY: 1-877-737-4999).

Portuguese

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-877-737-4999 (TTY: 1-877-737-4999).