OCR Section 1557

OCR NOTICE OF NONDISCRIMINATION

Source: HHS Office for Civil Rights

Plateau Oral & Facial Surgery complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Plateau Oral & Facial Surgery does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Plateau Oral & Facial Surgery

• 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

If you need these services, contact Cortland S. Caldemeyer.

If you believe that Plateau Oral & Facial Surgery 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:

Cortland S. Caldemeyer

920 S. Willow Ave

Cookeville, TN 38501

[email protected]

If you need help filing a grievance, Cortland S. Caldemeyer 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.