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]:
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 and Title 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 and Title 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, 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.
[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.
At [name of practice], your health and the health of our staff are of the utmost importance. To ensure your health and the health of our staff, we do follow usual universal precautions in our operatories and office. Additionally, every half hour to an hour we wipe down the waiting room and common spaces with disinfectant.
For the protection of all our patients and staff due the recent outbreak of coronavirus, we are requesting the following:
If you are healthy, there’s no need to cancel your regularly scheduled dental appointment.
If you have any questions or concerns, please contact us immediately. The below links provide additional information regarding the coronavirus:
Our team will continue to monitor the situation and provide updated information when warranted. Thank you for your patronage.
We have been coming to Dr. Carnice since 1999 (wow!) and she and the whole crew are beyond amazing! Excellent and detailed family dentistry and our kids love her (when you have kids loving to go to the dentist that says a lot! :)) Dr. Carnice and her friendly team make the whole dental experience and care super amazing. Dr. Carnice is super gentle and caring, and will leave your smile shining brighter!
I have had really bad experiences with dentists in the past, therefore I was very nervous going in to get some work done. I am currently involved in pageants. I'm a contestant for Miss California USA and having a beautiful smile is very important. I could not have asked for better service. Going to Dr. Carnice's dentistry was the best experience I have had from the moment you walk in the staff is so welcoming and amicable it takes a little bit of the edge off. Once I was in the chair the dentist made sure she walked me through each step so that I knew what she was doing and felt more comfortable, she proceeded to do a deep cleaning making sure I was fine and not feeling pain at all times. The process was long but the end result was great and I can honestly say that I will not go anywhere else. I recommend this place to all of my close friends and family.
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