Non-discrimiation Notice | Sunrise Facial and Oral Surgery

Sunrise Facial and Oral Surgery Non-Discrimination Notice

Office for Civil Rights NOTICE OF NONDISCRIMINATION

Sunrise Facial and Oral Surgery, LLC complies with all applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Sunrise Facial and Oral Surgery, LLC does not exclude people or discriminate on the basis of race, color, national origin, age, disability, or sex.

Sunrise Facial and Oral Surgery, LLC provides free aids and services to patients with disabilities in order to effectively communicate, such as:

Qualified Sign Language interpreters
Written information in other formats (large print, audio, accessible electronic formats)
Qualified interpreters and written information in languages other than English

If you are in need of these services, contact Janis Eitel.

If you believe that Sunrise Facial and Oral Surgery, LLC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, please file a grievance with:

Kimberly Graham, Practice Manager
1325 Pine Street, Ste 102
Melbourne, FL 32901
Phone: (321) 725-5377
Email: PracticeAdministration@SunriseOralSurgery.com

File your grievance by mail, email or in person. If you need help filing a grievance, Office Manager, Janis Eitel, 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:

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.