Notice of Nondiscrimination
Zsambeky, Chaney & Associates Family Dentistry complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Zsambeky, Chaney & Associates Family Dentistry does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Zsambeky, Chaney & Associates Family Dentistry:
- 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 Reid L. Chaney.
If you believe that Zsambeky, Chaney & Associates Family Dentistry 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:
Reid L. Chaney
5000 Highway 49 S
Harrisburg, NC 28075-8465
Phone: (704) 455-3333
Fax: (704) 455-3411
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Reid L. Chaney 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 (704) 455-3333 (TTY: (704) 455-3333).
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 (704) 455-3333 （TTY：(704) 455-3333）。
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (704) 455-3333 (TTY: (704) 455-3333).
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. (704) 455-3333 (TTY: (704) 455-3333)번으로 전화해 주십시오
ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (704) 455-3333 (ATS : (704) 455-3333).
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم (704) 455-3333) رقم .(704) 455-3333-1 :والبكم الصم ھ
LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau (704) 455-3333 (TTY: (704) 455-3333).
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (704) 455-3333 (телетайп: (704) 455-3333).
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (704) 455-3333 (TTY: (704) 455-3333).
સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો (704) 455-3333 (TTY: (704) 455-3333).
ប្រយ័ត្ន៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរស័ព្ទ (704) 455-3333 (TTY: (704) 455-3333)។
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (704) 455-3333 (TTY: (704) 455-3333).
ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। (704) 455-3333 (TTY: (704) 455-3333) पर कॉल करें।
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ (704) 455-3333 (TTY: (704) 455-3333).
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。(704) 455-3333（TTY:(704) 455-3333）まで、お電話にてご連絡ください。