Section 1557 of the Affordable Care Act

Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement: Discrimination is Against the Law

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

Kolb Dentistry, Inc.:

  • 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 Rosalinda Garcia, Corpus Christi Office Manager or Jackie Rodriguez, Taft Office Manager

If you believe that Kolb Dentistry, Inc. 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: 

Corpus Christi Office
Rosalinda Garcia, Office Manager 
4449 S Alameda St #1
Corpus Christi, TX 78412

Regular: (361) 991-5652 / Fax Number: (361) 991-5653 
Email: jill@kolbdentistry.com 

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Taft Office
Jackie Rodriguez, Office Manager 
1210 Gregory Suite 3
Taft, Texas 78390

Phone: (361) 528-3262
Email: jill@kolbdentistry.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Rosalinda Garcia, Corpus Christi Office Manager or Jackie Rodriguez, Taft Office Manager 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

ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 1-xxx-xxx-xxxx (TTY: 1-xxx-xxx-xxxx).

CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262.

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 Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262。

주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.  Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262 번으로 전화해 주십시오.

ملاحظة: إذا كنت تتحدث ذكر اللغة، تتوفر لك خدمات المساعدة اللغوية مجانا. استدعاء كوربوس كريستي مكتب: 1-361-991-5652 / مكتب تافت: هاتف: 1-361-528-3262

انتباہ: آپ اردو بولتے ہیں تو، آپ مفت زبان کی مدد کی خدمات ہیں. 1-361-991-5652 / ٹافٹ آفس:: پرتیکشیکرن Christi دفتر کو کال فون: 1-361-528-3262

PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262.

ATTENTION :  Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement.  Appelez le Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262.

ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262 पर कॉल करें।

توجه: اگر شما به زبان فارسی صحبت می کنید، امکانات زبان رایگان برای شما ارائه شده است. با کورپس کریستی دفتر: 1-361-991-5652 / تفت دفتر: تلفن: 1-361-528-3262 تماس بگیرید.

ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262.

સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો  Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262.

ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262.

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。Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262まで、お電話にてご連絡ください。

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ Corpus Christi Office: 1-361-991-5652 / Taft Office: Phone: 1-361-528-3262

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