Nondiscrimination Statement
West Michigan Endodontists, P.C. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. West Michigan Endodontists, P.C. does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
West Michigan Endodontists, P.C. will provide free aids and services to people with disabilities to communicate effectively with us including qualified sign language interpreters, written information in other formats (large print, audio, accessible electronic formats, other formats).
West Michigan Endodontists, P.C. provides free language services to people whose primary language is not English including qualified interpreters and information written in other languages
If you need these services, contact Civil Rights Coordinator.
If you believe that West Michigan Endodontists, P.C. 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, 3366 Burton Street, SE, Grand Rapids, MI 49546, Phone (616) 949-3541, Fax (616) 949-6062, or E-mail: info@wm-endo.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, 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, availablehttps://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.
