Section 1557 of the Affordable Care Act (ACA)

Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement: Discrimination is Against the Law

Central Iowa Orthodontics 
complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.  

Central Iowa Orthodontics 
does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
     
Central Iowa Orthodontics:

If you need these services, contact Tina Jayne

If you believe that Central Iowa Orthodontics 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:
 
Tina Jayne, Office Manager
5890 Morning Star Court
Pleasant Hill, Iowa 50327 
United States
Phone: (515) 266-2154 | Fax: (515) 266-8065 
Email Here

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Tina Jayne, Office Manager 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 1-515-266-2154.

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 1-515-266-2154。

CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-515-266-2154.

OBAVJEŠTENJE:  Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno.  Nazovite 1-1-515-266-2154

ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: 1-515-266-2154.

ملاحظة: إذا كنت تتحدث ذكر اللغة، تتوفر لك خدمات المساعدة اللغوية مجانا. دعوة 1-515-266-2154

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-515-266-2154.

주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  1-515-266-2154번으로 전화해 주십시오.

ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-515-266-2154 पर कॉल करें।

ATTENTION :  Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-515-266-2154

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-515-266-2154.

เรียน:  ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี  โทร 1-515-266-2154.

PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa 1-515-266-2154.


1-515-266-2154

ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-515-266-2154