Notice of Nondiscrimination

University Dental Associates, Scott F Tucker DDS MS PA (the “Practice”) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. The Practice does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. The 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)

• 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 contact our Civil Rights Coordinator, Practice Manager: (see attached List for individual offices) If you believe that the Practice 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 Civil Rights Coordinator: See attached list of practice managers for each office You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, our Civil Rights Coordinator Casey Brinkley (cbrinkley@amdpi.com) 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: 1-800-868-1019 800 537-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Language Assistance Services – North Carolina ATTENTION: If you speak a language listed below, language assistance services, free of charge, are available to you. CMS, Top 15 non-English Languages by State is available at: https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/Appendix-A-Top-15.pdf Translated taglines available at:  https://www.hhs.gov/civil-rights/for-individuals/section-1557/translated-resources/index.html