Notice of Non-Discrimination

This is a Non-Discrimination Policy and Notice for Vivid Smiles.

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

Vivid Smiles 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)

Vivid Smiles 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, please ask us.

If you believe that Vivid Smiles 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:

Amy Bauchens, Compliance Officer

2050 E Algonquin Rd

Ste 610

Schaumburg, IL 60173

(888) 988-4066

abauchens@familiadental.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Amy Bauchens 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.

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We gladly provide free language assistance

If you need interpreting or translation service please point to your language.  Language assistance is provided at no cost.

____________________________________________________________

Arabic

خدمات المساعدة اللغویة تتوافر لك بالمجان.

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن

Chinese

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

Burmese

သတိျပဳရန္။ ။ အကယ္၍ သင္သည္ ျမန္မာ လိိုေျပာပါက ဘာသာစကားဆိုင္ရာအကူအညီ ဝန္ေဆာင္မႈကိို အခမဲ့ ရႏိုင္ပါသည္။ စကားျပန္တစ္ဦးလိိုအပ္ေၾကာင္းကို ေၾကးဇူးျပဳၿပီး ဝန္ထမ္းတစ္ဦးဦးကို ေျပာျပပါ။

Dutch

AANDACHT: Als je Nederlands spreekt, zijn de taal assistentie diensten gratis beschikbaar voor jou. Gelieve een van onze werknemers te vertellen dat je een tolk nodig hebt.

Pennsylvania Dutch

ACHTUNG: Wenn Sie sprechen Pennsilfaanisch Deitsch, Übersetzungsdienste sind gratis für Sie vorhanden. Bitte sagen Sie einem Mitarbeiter dass Sie einen Interpreter benötigen.

French

ATTENTION : Si vous parlez français, des services

d’aide linguistique vous sont proposés gratuitement.

Greek

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

German

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.

Gujarati

સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે.

Hindi

धय् ान द: यि द आप ि हद ी बोलत े ह तो आपक े ि लए मफु त् म भाषा सहायता स वे ाएं उपलबध् ह

Hmong

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj.

Italian

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

Japanese

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

Korean

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

Karen

Laotian

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ.

Navajo

Dίί baa akó nίnίzin: Dίί saad bee yánίłti’ go Diné Bizaad, saad bee áká’ánίda’áwo’dę́ę́’, t’áá jiik’eh, éί ná hólǫ́, kojį’ hódίίlnih

Punjabi

ਿਧਆਨ ਿਦਓ: ਜ ੇ ਤਸੁ ੀ ਪੰ ਜਾਬੀ ਬ ੋਲਦ ੇ ਹ,ੋ ਤਾ ਭਾਸ਼ਾ ਿਵੱ ਚ

ਸਹਾਇਤਾ ਸ ੇਵਾ ਤਹੁ ਾਡ ੇ ਲਈ ਮ ਫੁ ਤ ਉਪਲਬਧ

Persian (Farsi)

،دینک یم وگتفگ یسراف نابز هب رگا :هجوت

مهارف امش یارب ناگیار تروصب ینابز تالیهست

.دشاب یم

Polish

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

Russian

ВНИМАНИЕ: Если вы говорите на русском языке,

то вам доступны бесплатные услуги перевода

Serbocroatian

OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno

Spanish

ATENCIÓN: si habla español, tiene a su disposición

servicios gratuitos de asistencia lingüística.

Tagalog

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari

kang gumamit ng mga serbisyo ng tulong sa wika

Thai

เร ียน: ถาคุณพดภาษาไทยคุณสามารถใชบร ิการช่วย เหลือทางภาษาไดฟ ้ ร ี

Urdu

ىك ددم ىك نابز وك پآ وت ،ںىہ ےتلوب ودرا پآ رگا :رادربخ

۔ ںىہ باىتسد ںىم تفم تامدخ

Vietnamese

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