OCR NOTICE OF NONDISCRIMINATION
Source: HHS Office for Civil Rights
Oral Surgery Group, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Oral Surgery Group, Inc. does not exclude people or treat them differently because of race, color, national origin, age,
disability, or sex.
Oral Surgery Group, Inc.:
- 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 :
Receptionist or Stasha Morrow, Civil Rights Coordinator.
If you believe that Oral Surgery Group, Inc. 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:
Stasha Morrow, Civil Rights Coordinator
8691 Connecticut Street, Suite. A, Merrillville, IN 46410
Telephone Number: 219-757-5700]
Fax: 219-757-5706 Email: firstname.lastname@example.org
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Stasha Morrow, 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.