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

Smile Starters:

• 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)

  • Provides free language services to people whose primary language is not English, such as:

  • Qualified interpreters

  • Information written in other languages

  • Electronic interpretation

If you need these services, please inform a front office associate.

If you believe that Smile Starters 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:

Audrey Humble, Civil Rights Coordinator

P.O. Box 26394

Winston Salem, NC 27114-6394

(336)747-3276 ahumble@smilestartersdental.com

You can file a grievance in person to any Smile Starters location, or by mail, or email. If you need help filing a grievance, Audrey Pearman, Civil Rights Coordinator 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 Toll Free: 1-800-868-1019, 800-537-7697 (TDD).

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

We will take reasonable steps to provide free-of-charge language assistance services to people who speak languages we are likely to hear in our practice and who don’t speak English well enough to talk to us about the dental care we are providing.

Spanish:  

Tomaremos  acciones razonables para proporcionar servicios de asistencia lingüística gratuitos a aquellas personas cuyo lenguaje escuchemos frecuentemente en nuestro consultorio y que no hablen un inglés lo suficientemente bueno como para hablar con nosotros sobre el servicio odontológico que suministramos.

Chinese:

我们将有序地做到提供免费的语言服务使我们能听懂英语不好的人向我们咨询有关牙齿护理

Vietnamese:  Chúng tôi sẽ thực hiện các bước cần thiết để cung cấp dịch vụ hỗ trợ ngôn ngữ miễn phí cho những người giao tiếp bằng những ngôn ngữ mà chúng tôi có thể nghe thấy tại phòng khám của mình và cho những người không có đủ trình độ tiếng Anh để thảo luận về dịch vụ chăm sóc nha khoa mà chúng tôi đang cung cấp.

Korean:

저희는 적절한 조치를 통하여 언어 지원 서비스를 무료로 제공할 것입니다. 다만, 실제로 저희에게 관심이 있는 언어를 쓰지만 저희 치아 관리 서비스에 대해 의견을 줄 수 있을 만큼 영어로 의사소통이 원활하지 않는 경우로 한정합니다

French:  

Nous prendrons les mesures raisonnables pour fournir des services d'assistance linguistique gratuits pour les individus qui parlent des langues que nous sommes susceptibles d'entendre durant nos séances et qui ne parlent pas suffisamment bien l'anglais pour discuter avec nous concernant les soins dentaires que nous fournissons.

Arabic:

سوف نقوم باتخاذ خطوات معقولة من أجل توفیر خدمات المساعدة اللغویة بدون تكلفة للأشخاص الذین یتحدثون لغات أخرى من

المرجح أن نستمع إلیھا خلال ممارستنا والذین لا یتقنون تحدث الإنجلیزیة بشكل جید یمكنھم من التحدث إلینا فیما یتعلق برعایة

الأسنان التي نقدمھا.

Hmong:  

Peb yuav tsum nrhiav kev pab-dawb los ntawm kev pab cuam txhais lus rau cov neeg uas hais lus peb yeej tau hnov hauv peb txoj kev kawm thiab tus uas tsis paub hais lus Askiv txaus los tham rau peb txog cov kev pab kho hniav peb muaj.

Russian:  

Мы принимаем необходимые меры, чтобы предоставить бесплатные услуги переводчика  для общения на языках, с которыми мы сталкиваемся в нашей практике с клиентами, которые не владеют английским языком достаточно, чтобы обсудить с нами стоматологическое обслуживание, которое мы предоставляем.

Tagalog:  

Gagawin namin ang mga makatwirang hakbang para maibigay namin ng walang bayad ang mga tulong na serbisyo sa wika para sa mga taong nagsasalita ng mga wikang karaniwan naming naririnig sa aming pagsasagawa at sa mga hindi bihasa sa pagsasalita ng Ingles na sasangguni sa amin tungkol sa pangangalaga ng ngipin na ibinibigay namin.

Gujarati:

અમે એવા લોકોને િવના લ્ૂ યે ભાષા સહાય સેવા રૂ  પાડવા ઉચત પગલાં લઇ ું

ઓ એ ભાષાઓ બોલે છે  અમને (તબીબી ) પ્રેકટસમાં સાભંળવા મળ શક અને

ઓ અમે  દંત રક્ષાુ પ્રદાન કરએ છએ તેના િવષે વાત કરવા રૂ   ું યોગ્ય ગ્લીશ બોલી શકતા નથી.

Mon-Khmer, Cambodian:

េយើងខ ំនឹងត់វនរសមេហតុផលេដើម្បីផល់ជូននូវេសជំនួយេយឥតគិតៃថដល់អកនិយែដលេយើង ខ ំចង់ ប់េក ងរអនុវតរបស់េយើងខ ំ

និងអកែដលនិយអង់េគសមិនសូ វនលក ងរនិយមកន់េយើងខ ំអំពីរែថំត់េធញែដលេយើងខ ំកំពុ ងផល់ឲ្យ។

German:

Wir werden angemessene Schritte unternehmen, um denen eine gebührenfreie Sprachunterstützung zu bieten, die Sprachen sprechen, die wir möglicherweise in unserer Praxis hören, die aber kein Englisch sprechen, das gut genug ist, um mit uns über die Zahnpflege zu sprechen, die wir anbieten.

Hindi:

हम उन व्यिक्तय को, जो क ऐसी भाषाएं बोलते ह जो हम अपने अभ्यास म संभावत रूप म सननाु चाहते ह और जो हमारे द्वारा प्रदान क जाने वाल डट ल देखभाल के बारे म हमारे साथ उचत ढंग से अंग्रेज़ी नहं बोलते, मफ़्तु सेवाएं प्रदान करने के लये उचत कदमउठायग े।

Laotian:  

ພວກເຮົ າຈະໃຊ້ ຂັ້ ນຕອນທ່ີ ເໝາະສົ ມ ເພ່ື ອໃຫ້ ໍບິລການຊ່ ວຍເຫືຼ ອດ້ ານພາສາບ່ໍ ເສຍຄ່ າແກ້ ຄົ ນຜູ ້່ີທເວົ້ າພາສາທ່ີ ພວກເຮົ າອາດຈະໄດ້ ິຍນຢູ່ ໃນການຝຶ ກຊ້ ອມຂອງພວກເ ົຮາ ແລະ ຜູ້ ່ີທ່ໍບເວົ້ າພາສາອັ ງກິ ດໄດ້ ີດພໍ ເພື່ ອລົ ມກັ ບພວກເຮົ າກ່ ຽວກັ ບການເບ່ິ ງແຍງດູ ແລແຂ້ ວທ່ີ ພວກເຮົ າກໍ າລັ ງຈັ ດໃຫ້

Japanese:  

実際に練習の中で耳にするく可能性がある言語を話す人々で、弊社が提供している歯科治療について、英語がそれほど上手でない人々に、無償の言語支援サービスを提供するために合理的な措置を講じるつもりです。

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RAFAEL RIVERA, JR., DDS, PLLC

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