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Posting Notices and Taglines

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As mentioned in the previous section, two notices are required to be posted by covered dental practices: Notice of Nondiscrimination and Taglines.

Notice of Nondiscrimination.

The Notice of Nondiscrimination tells the public that you don’t discriminate on the basis of race, color, national origin, sex, age, or disability. The OCR has developed a sample Notice of Nondiscrimination. The following sample Notice of Nondiscrimination, which is also in Appendix A of this publication, may be used by covered entities with 15 or more employees:

OCR Sample Notice of Nondiscrimination

Discrimination is Against the Law

[Name of covered entity] complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

[Name of covered entity] does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

[Name of covered entity]:

• 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)

• 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 [Name of civil rights coordinator].

If you believe that [Name of covered entity] 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:

[name of civil rights coordinator]

[mailing address]

[telephone number]

[TTY number—if covered entity has one]

[fax]

[email]

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, [name of 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, 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

Toll Free: 1.800.368.1019; 800.537.7697 (TDD).

Complaint forms are available at www.hhs.gov/ocr/office/file/index.html.

Source: HHS Office for Civil Rights

Sample Notice of Nondiscrimination for Offices with Fewer than 15 Employees

Covered entities with fewer than 15 employees are not required to have a written grievance procedure, so their Notice of Nondiscrimination does not need to include information about filing a grievance with the covered entity. The following Notice of Nondiscrimination, which is also in Appendix B of this publication, is based on the OCR sample Notice of Nondiscrimination, but omits the information about the grievance procedure:

Sample Notice of Nondiscrimination for Offices with Fewer than 15 Employees

Discrimination is Against the Law

[Name of covered entity] complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. [Name of covered entity] does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

[Name of covered entity]:

• 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 [Name of appropriate dental office staff member].

If you believe that [Name of covered entity] 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 the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at 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

Toll free: 1.800.368.1019; 800.537.7697 (TDD)

Complaint forms are available at www.hhs.gov/ocr/office/file/index.html.

Adapted from: HHS Office for Civil Rights

Section 1557 of the Affordable Care Act

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