Pursel Dental, PC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Pursel Dental, PC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Pursel Dental, PC
- Provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Written information in other formats (audio, 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 our office at 814-535-5244.
If you believe that Pursel Dental, PC 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, 1390 Eisenhower Blvd. Johnstown, PA 15904, Tel: 814-535-5244, Fax: 814-536-2474, 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 our office staff 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, 1-800-868-1019, 800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: 1-877-737-4999 (TTY: 1-877-737-4999).
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-877-737-4999 (TTY: 1-877-737-4999).