Notice of Nondiscrimination

The University of North Carolina at Chapel Hill Dental Faculty Practice is committed to providing an inclusive and welcoming environment for all patients. Consistent with this mission and in accordance with applicable Federal laws, the UNC Dental Faculty Practice does not discriminate on the basis of race, color, national origin, age, disability, or sex in its health programs and activities. The UNC Dental Faculty Practice does not exclude people or treat them differently on account of race, color, national origin, age, disability or sex.

In order to effectively communicate with all patients, UNC Dental Faculty Practice:

  • Provides free aids and services to persons with disabilities, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats)
  • Provides free language services to persons whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages

If you need assistance in obtaining these free services, contact the Clinical Affairs Compliance Specialist (see contact information below).

If you believe that the UNC Dental Faculty Practice 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 Compliance Specialist:

Marty Folliard
385 S Columbia St., Suite 452
Chapel Hill, NC 27599
(919) 537-3444
mfolliar@email.unc.edu

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Compliance Specialist is available to 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/smartscreen/main.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. 21201; 1 (800) 368-1019; (800) 537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/filing-with-ocr/index.html.

WE PROMISE TO

  • Serve all patients
  • Provide free aids and services to all persons covered under this Notice
  • Not deny health services based on:
    • Race
    • Color
    • National origin
    • Age
    • Sex
    • Disability

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 919-537-3588.

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 919-537-3588 。

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 919-537-3588.

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 919-537-3588 번으로 전화해 주십시오.

ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 919-537-3588.

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 919-537-3588 رقم .

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 919-537-3588.

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 919-537-3855.

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 919-537-3588

ચુ ના: જો તમેજરાતી બોલતા હો, તો િન:લ્કુ ભાષા સહાય સેવાઓ તમારા માટઉપલબ્ધ છ. ફોન કરો 919-537-3588

្របយ័ត៖ េបើសិនអកនិយ ែខ រ, េសជំនួយែផក េយមិនគិតឈ ល គឺចនសំប់បំេរ អក។ ចូរ ទូរស័ព 919-537-3588

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 919-537-3588.

ध्यान द: यद आप हदी बोलते ह  तो आपके िलए मुफ्त म भाषा सहायता सेवाएं उपलब्ध ह। 919-537-3588.

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 919-537-3588

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。919-537-3588