7623 W Burleigh St Milwaukee, WI 53222-5001(414) 444-4334

Notice of Nondiscrimination

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

Burleigh Dental:

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 Michael Donohoo

If you believe that Burleigh Dental 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: Michael Donohoo, 7623 W Burleigh St Milwaukee, WI 53222-5001, Telephone Number: 414-444-4334, TTY: 711, Fax: 414-444-3222, Email: [email protected].  You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Michael Donohoo 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.

Burleigh Dental complies with Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. For assistance, please call 1-414-444-4334 (TTY: 1-711).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-414-444-4334 (TTY: 1-711).

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-414-444-4334 (TTY: 1-711).

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 1-414-444-4334 (TTY:1-414-444-4334)。

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-414-444-4334 (TTY: 1-711).

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم 1-414-444-4334 رقم .1-414-444-4334 :والبكم الصم ھ

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-414-444-4334 (телетайп: 1-414-444-4334).

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-414-444-4334 (TTY: 1-711)번으로 전화해 주십시오

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ há»— trợ ngôn ngữ miá»…n phí dành cho bạn. Gọi số 1-414-444-4334 (TTY: 1-711).

Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-414-444-4334 (TTY: 1-711).

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-414-444-4334 (TTY: 1-711).

ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-414-444-4334 (ATS : 1-414-444-4334).

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpÅ‚atnej pomocy jÄ™zykowej. ZadzwoÅ„ pod numer 1-414-444-4334 (TTY: 1-711).

ध्यान दें:  à¤¯à¤¦à¤¿ आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-414-444-4334 (TTY: 1-711) पर कॉल करें।

KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në 1-414-444-4334 (TTY: 1-711).

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-414-444-4334 (TTY: 1-711).

 

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