OCR NOTICE OF NONDISCRIMINATION
Source: HHS Office for Civil Rights
Southern KY Oral Surgery
complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Southern KY Oral Surgery
does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Southern KY Oral Surgery:
- 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)
- Free language services to people whose primary language is not English, such as: Qualified interpreters and Information written in other languages
If you need these services, contact Nancy Zoretic.
If you believe that Southern KY Oral Surgery
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:
Nancy Zoretic, Practice Administrator
1938 Lynda Ave
Bowling Green, KY 42104
Phone: 870-783-0064
Fax: 270-783-4229
Email: [email protected]
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Nancy Zoretic, Practice Administrator 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: 1-800-368-1019, 800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
A copy of our notice to take reasonable steps to provide alternate language services can be downloaded below. This information is also available in the images shown below.
Alternate language service information.
