703 SIMON AVE, CARROLL, IOWA 51401
Provides free aids and services to people with disabilities to communicate effectively with us, such as:
Provides free language services to people whose primary language is not English, such as:
If You Need These Services, Contact Kim Wilkie.
If you believe that Carroll Dental Clinic 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 the Civic Rights Coordinator.
Kim Wilkie,
703 Simon Avenue, Carroll, Iowa, 51401.
Phone: 712-792-4375, Fax: 712-792-3371
email: manager@carrollsmiles.com.
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.
We will take reasonable steps to provide free-of-charge language assistance services to people who speak languages we are likely to hear in our practice and who don’t speak English well enough to talk to us about the dental care we are providing. To view this statement in the top 15 languages spoken in Iowa CLICK HERE.
