Mansfield Family Dentistry, LLC
www.mansfieldfamilydentist.com


6 Storrs Rd. PO Box 459, Mansfield Center, CT 06250
860.456.1808

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Mansfield Family Dentistry, LLC 
6 Storrs Rd, PO Box 459
Mansfield Center, CT 06250
 


Call 860.456.1808 

staff@mansfieldfamilydentist.com
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Compliance with Section 1557 of the Affordable Care Act. Notice Informing Individuals regarding OCR Nondiscrimination Requirements. Our practice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, sex, age, disability, or national origin. Our practice does not exclude people or treat them differently because of race, color, sex, age, disability, or national origin. Our practice 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). Our practice 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 Valerie Alessandro, DDS. If you believe that our practice has failed to provide these services or discriminated in another way on the basis of race, color, sex, age, disability, or national origin, you can file a grievance with: Valerie Alessandro, DDS, 6 Storrs Rd. PO Box 459, Mansfield Center, CT 06250, 860-456-1808, Fax 860-456-1862. staff@mansfieldfamilydentist.com. You can file a grievance in person, or by mail, fax, or email. If you need help filing a grievance, Valerie Alessandro, DDS 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.  

Compliance with Section 1557 of the Affordable Care Act. Notice informing individuals regarding language assistance services. For individuals with limited English proficiency, we will take reasonable steps to provide free assistance for languages we are likely to hear.

Spanish: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.

Portuguese: Se fala português, encontram-se disponíveis serviços linguísticos, grátis.

Polish: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.

Chinese:  如果您使用繁體中文,您可以免費獲得語言援助服務

Italian: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti.

French : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement.

French Creole: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.

Russian: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.

Vietnamese: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.

Arabic:  ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.

Korean: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.

Albanian: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë.

Hindi: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं

Tagalog: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.

Greek: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν.