New Smiles Dental, Sebastian Bouroncle DDS complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. New Smiles Dental, Sebastian Bouroncle DDS does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
New Smiles Dental, Sebastian Bouroncle DDS:
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:
Information written in other languages
If you need these services, contact Virginia de Castro
If you believe that New Smiles Dental, Sebastian Bouroncle DDS 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: Virginia de Castro,
1900 Opitz Blvd
Woodbridge, VA 22191-3320
Telephone Number: 703-494-0820, TTY: 703-494-0820, Fax: 703-499-9430, Email: firstname.lastname@example.org. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Virginia de Castro 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.