Non-Discrimination Policy

Appendix A to Part 92—Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement:
Discrimination is Against the Law

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

Elfman Orthodontics. LLC:

  • 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 Dr. Joel Elfman, Civil Rights Coordinator

If you believe that Elfman Orthodontics, LLC 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: Dr. Joel Elfman, Civil Rights Coordinator, 302 Haddonfield-Berlin Road, Voorhees, NJ 08043, 856-429-1900, 856-429-2174 (Fax), or drelfman@elfmanortho.com You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Dr. Joel Elfman, 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.

SPANISH:
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

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Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

KOREAN:
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 번으로 전화해 주십시오Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

PORTUGUESE:
ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

GUJARTI:
સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

POLISH:
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

ITALIAN:
ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

ARABIC:
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

TAGALOG:
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

RUSSIAN:
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

FRENCH CREOLE (HAITIAN CREOLE):
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

HINDI:
ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। पर कॉल करें। Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

VIETNAMESE:
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

FRENCH:
ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)

URDU:
خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال Call Dr. Joel Elfman, Civil Rights Coordinator, then 1-404-920-3860 (TTY:1-404-920-3860)