Notice of Nondiscrimination

Hammond & Proctor Family Dentistry complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity).

Hammond & Proctor Family Dentistry does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex.

Communication Assistance

We 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)

We also provide free language services to people whose primary language is not English, such as:

  • Qualified interpreters

  • Information written in other languages

Contact Information

If you need these services, contact:

Practice Administrator
Cameron Park Location
970 Camerado Drive, #100
Cameron Park, CA 95682
Phone: 530-433-1485

Folsom Location
260 Palladio Parkway, #1001
Folsom, CA 95630
Phone: 916-426-8620

Filing a Grievance

If you believe that Hammond & Proctor Family Dentistry has failed to provide these services or discriminated in another way, you can file a grievance with the Practice Administrator using the contact information above.

You can file a grievance in person, by mail, or by phone.

External Complaints

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201

1-800-368-1019
TDD: 1-800-537-7697

Language Assistance

ATTENTION: If you speak English, language assistance services are available to you free of charge.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.

注意：如果您说中文，可获得免费的语言协助服务。

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

Accessibility

This notice is available in alternative formats upon request.