NOTICE OF NONDISCRIMINATION

Patient Notice of Rights in Accordance with the ADA Section 504 and ACA Section 1557
We are dedicated to providing services to patients, companions and visitors in a welcoming manner that respects, protects, and
promotes patient rights.
We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude
people or treat them differently because of race, color, national origin, age, disability, or sex.
All dental centers provide:
• 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)
• 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, please let one of our team members know and they will assist you.
If you believe that any of our dental centers have 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:
Linda Zoeller, Legal
119 Sugar Tree Lane
Gallatin, TN 37066
(615) 972-5871
(706) 790-3408 Fax
[email protected]
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Linda Zoeller, VP, Legal 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. Español (Spanish)
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-855-293-8133.
Tiếng Việt (Vietnamese)
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-855-293-8133.
繁體中文 (Chinese)
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1-855-293-8133.
Deutsch (German)
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-855-293-8133.
한국어 (Korean)
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-855-293-8133.
ພາສາລາວ (Lao)
ໂປດຊາບ: ຖ້າວ່ າ ທ່ ານເວົ
້ າພາສາ ລາວ, ການບໍ ິ
ລການຊ່ ວຍເຫືຼ ອດ້ ານພາສາ, ໂດຍບໍ
່ ເສັ ຽຄ່ າ, ແມ່ ນມີ ພ້ ອມໃຫ້ທ່ ານ. ໂທຣ 1-855-293-8133.
(Arabic (ةيبرعلا
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-8133-293-855) رقم
Tagalog (Tagalog – Filipino)
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-855-293-8133.
(Burmese)
သတိျပဳရန္- အကယ္၍ သင္သည္ျမန္မာစကား ကိုေျပာပါက၊ ဘာသာစကား အကူအညီ၊ အခမဲ့၊ သင့္အတြက္စီစဥ္ေဆာင္ရြက္ေပးပါမည္။ ဖုန္းနံပါတ္1-855-293-8133.
Français (French)
ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-855-293-8133.
日本語 (Japanese)
注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-855-293-8133.
Русский (Russian)
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-855-293-8133.
Hmoob (Hmong)
LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-855-293-8133.
(Farsi (یسراف
.8133-293-855-1 تماس بگیرید. توجھ: اگر بھ زبان فارسی گفتگو می کنید، تسھیلات زبانی بصورت رایگان برای شما
Kiswahili (Swahili)
KUMBUKA: Ikiwa unazungumza Kiswahili, unaweza kupata, huduma za lugha, bila malipo. Piga simu 1-855-293-8133.
ગુજરાતી (Gujarati)
સુચના: જો તમેગુજરાતી બોલતા હો, તો િન:શુ�ક ભાષા સહાય સેવાઓ તમારા માટેઉપલ�ધ છે. ફોન કરો 1-855-293-8133.
አማርኛ (Amharic)
ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-855-293-8133.
िहंदी (Hindi)
ध्यान द�: य�द आप िहंदी बोलते ह� तो आपके िलए मुफ्त म� भाषा सहायता सेवाएं उपलब्ध ह�। 1-855-293-8133.
Kreyòl Ayisyen (French Creole)
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-855-293-8133.
Português (Portuguese)
ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-855-293-8133

Contact Us

Our Location

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Hours of Operation

Our Regular Schedule

Primary Location

Monday:

9:00 am-4:00 pm

Tuesday:

9:00 am-4:00 pm

Wednesday:

9:00 am-4:00 pm

Thursday:

9:00 am-4:00 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed