Sage Dental is dedicated to complying with state laws and federal regulations ensuring patient non-discrimination. We do not discriminate, exclude or treat individuals differently because of race, color, national origin, age, disability, or sex.
Sage Dental provides free aids and/or assistance services to individuals with disabilities to allow effective communication, such as:
- Qualified sign language interpreters, including video remote interpretation services
- Written information in other formats, as requested (large print, assisted audio, etc.)
Sage Dental provides free language services to people whose primary language is not English, such as:
- Qualified interpreters, including video remote interpretation and/or over-the-phone interpretation services
- Written information in other languages
If you believe that Sage Dental has failed to provide these services or in any other way discriminated based on race, color, national origin, or sex, you can file a grievance or request assistance in filing a grievance by emailing us or mailing us at:
ATTN: Sage Dental Compliance Officer
Sage Dental Support Center
6600 Congress Ave.
Suite 150
Boca Raton, FL 33487
Email:compliance@mysagedental.com
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
1-800-537-7697 (TDD)
Complaint forms are available at:
https://www.hhs.gov/ocr/office/file/index.html
Patient Nondiscrimination Notice
Sage Dental is committed to providing equal access to care through language assistance services, appropriate auxiliary aids and services, and reasonable modifications. Our Notice of Nondiscrimination and language assistance information are also available in the languages most commonly spoken in the communities we serve.
ATTENTION: If you need LANGUAGE ASSISTANCE SERVICES, free of charge, they are available to you.
Arabic:
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان.
Amharic:
ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል።
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。
French:
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.
French Creole/Haitian Creole:
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.
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:
ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं।
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.
Laotian:
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ.
Mon-Khmer/Cambodian:
ប្រយ័ត្ន៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសម្រាប់បម្រើអ្នក។
Persian/Farsi:
توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد.
Polish:
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej.
Portuguese:
ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis.
Russian:
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.
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 nang walang bayad.
Thai:
เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี
Turkish:
DİKKAT: Eğer Türkçe konuşuyor iseniz, dil yardımı hizmetlerinden ücretsiz olarak yararlanabilirsiniz.
Ukrainian:
УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки.
Vietnamese:
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.
