Falcon Orthodontics complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We are committed to providing inclusive care and ensuring that everyone is treated equally and with respect, regardless of these factors.

We:

• Do not exclude or treat individuals differently based on race, color, national origin, age, disability, or sex.
• Provide free aids and services to ensure effective communication with people with disabilities, including:
  • Qualified sign language interpreters
  • Information in accessible formats (e.g., large print, electronic formats)

Additionally, we offer free language assistance services for individuals whose primary language is not English, such as:

• Qualified interpreters
• Informed consent forms available in Spanish

If you need any of these services, please contact our Office Manager, who serves as our Civil Rights Coordinator.

If you believe that Falcon Orthodontics has failed to provide these services or has discriminated in any way, you can file a grievance with our Civil Rights Coordinator.

Grievances can be filed in person, by mail, fax, or email. Our Civil Rights Coordinator is also available to assist you with the process.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Complaints can be submitted electronically through the Office for Civil Rights Complaint Portal at https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue S.W.
Room 509F, HHH Building
Washington, DC 20201
Phone: 1-800-868-1019
TDD: 1-800-537-7697

Complaint forms are available at https://www.hhs.gov/ocr/complaints/index.html.