Notice of Nondiscrimination

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

Glendale Aesthetic 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)

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 Henry Yu

If you believe that Glendale Aesthetic 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: Henry Yu, 5700 W Olive Ave # 105 Glendale, AZ 85302, Telephone Number: 623-334-8300, TTY: [623-334-8300, Fax: 623-334-8200, Email: [email protected] You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Henry Yu 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, D.C. 20201 1-800- 368-1019, 800-537- 7697 (TDD)

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

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-623-334-8300 (TTY: 1-623-334-8300).

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 1-623-334-8300（TTY： 1- 623-334-8300）。

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ há»— trợ ngôn ngữ miá»…n phí dành cho bạn. Gọi số 1-623-334-8300 (TTY: 1-623-334-8300).

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-623-334-8300) رقم .(1-623-334-8300 :والبكم الصم ھ

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-623-334-8300 (TTY: 1-623-334-8300).

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-623-334-8300 (TTY: 1-623-334-8300)번으로 전화해 주십시오

ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-623-334-8300 (ATS : 1-623-334-8300).

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-623-334-8300 (TTY: 1-623-334-8300).

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-623-334-8300 (телетайп: 1-623-334-8300).

注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-623-334-8300 （TTY:1-623-334-8300）まで、お電話にてご連絡ください。

s توجھ: اگر بھ زبان فارسی گفتگو Ù…ÛŒ کنید، تسھیلات زبانی بصورت رایگان برای شما .بگیرید تماس         1-623-334-8300 (TTY: 1-623-334-8300) با. باشد Ù…ÛŒ ف

ܙܘܗܪܐ: ܐܢ ܼܐܚܬܘܢ ܟܐ ܼܗ ܸܡܙܡܼܝܬܘܢ ܠܫܢܐ ܐܬܘܪܝܐ، ܡ ܼܨܝܬܘܢ ܕܩ ܿ ܿ ܿ ܵ ܵ ܿ ܼ ܼܒܠܝ ܿ ܿ ܵ ܬܘܢ ܵ ܿ ܿ ܸ
ܸܚ ܼܠܡ ܹܬܐ ܕ ܼܗܼܝܪܬܐ ܸܒܠܫܢܐ ܼܡܓܢ ܼܐܝܬ ܩܪܘܢ ܥܠ ܸܡܢܝܢܐ (1-623-334-8300: TTY (1-623-334-8300 ܵ ܵ ܿ . ܵ ܵ ܿ ܵ ܵ ܵ ܿ ܿ ܿ

OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-623-334-8300 (TTY- 1-623-334-8300Telefon za osobe sa oštećenim govorom ili sluhom:).

เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-623-334-8300 (TTY: 1-623-334-8300).