OCR NOTICE OF NONDISCRIMINATION

Source: HHS Office for Civil Rights

Jacksonville Emergency Dental
complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Jacksonville Emergency Dental
does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Jacksonville Emergency Dental:

  • 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)
    • Free language services to people whose primary language is not English, such as: Qualified interpreters and Information written in other languages

If you need these services, contact Michael Thomasino.

If you believe that Jacksonville Emergency Dental
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:

Michael Thomasino, Michael Thomasino
1716 University Blvd S
Jacksonville, FL 32216
Phone: (904) 224-0046
Fax: (904) 339-9066
Email: info@jaxemergencydental.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Michael Thomasino, Michael Thomasino 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, DC 20201

Toll Free: 1-800-368-1019, 800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.