Lake Sammamish Pediatric Dentistry – Pediatric Dentist complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Lake Sammamish Pediatric Dentistry – Pediatric Dentist does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Lake Sammamish Pediatric Dentistry – Pediatric Dentist:
- 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 Lake Sammamish Pediatric Dentistry – Pediatric Dentist.
If you believe that Lake Sammamish Pediatric Dentistry – Pediatric Dentist 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:
Lake Sammamish Pediatric Dentistry – Pediatric Dentist
- 425-651-2626
- 3014 Issaquah Pine Lake Road SE Suite A
Sammamish WA 98075
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Lake Sammamish Pediatric Dentistry – Pediatric Dentist 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)