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Notice Of Non-Discrimination

Family Dental Care, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.

Family Dental Care, Inc. does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Family Dental Care, 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, other formats)
• Provides free language services to people whose primary language is not English, such as: qualified interpreters and information written in other languages.

If you need these services, please contact FDCi Customer Service at 503.644.2663 TTY 711.

If you believe that Family Dental Care, 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:

(A) Quality Improvement Department
Family Dental Care, Inc.
6700 SW 105th Avenue Suite 210
Beaverton, Oregon 97008
(P) 503.644.2663 TTY 711

You can file a grievance in person or by mail, fax, or our secure web form. FDCi does not accept any personal member information received through unsecure or unencrypted service. If you need help filing a grievance, an FDCi Care 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,
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

English

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call (503-644-2663) TTY (711).

Family Dental Care, Inc. (FDCi) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Español (Spanish)

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al Call (503-644-2663) TTY (711).

Family Dental Care, Inc. (FDCi) cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

Russian

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните Call (503-644-2663) TTY (711).

Family Dental Care, Inc. (FDCi) соблюдает применимое федеральное законодательство в области гражданских прав и не допускает дискриминации по признакам расы, цвета кожи, национальной

принадлежности, возраста, инвалидности или пола.

Vietnamese

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số Call (503-644-2663) TTY (711).

Family Dental Care, Inc. (FDCi) tuân thủ luật dân quyền hiện hành của Liên bang và không phân biệt đối xử dựa rên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính.