205.621.5304
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Notice of Nondiscrimination

Premier Family Dentistry of Alabaster, P.C.
Complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Premier Family Dentistry of Alabaster, P.C.
Does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Premier Family Dentistry of Alabaster, P.C.:

If you need these services, contact our 1557 Compliance Coordinator. If you believe that we have 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 in person or by mail, fax, or email at: Premier Family Dentistry of Alabaster, P.C., Compliance Coordinator, 9200 Highway 119, Suite 200, Alabaster, AL 35007, Attn: Compliance Coordinator, (205) 621-5304, (205) 621-5306 (fax), premierfamily@yahoo.com (email). If you need help filing a grievance, our 1557 Compliance Coordinator 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.jsf, or by mail or phone at: U.S. Department of Health and Human Service, 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 http://www.hhs.gov/ocr/office/file/index.html.

ATTENTION: Free language assistance services are available. Please call (205) 621-5304.
Spanish, Chinese, Korean, Vietnamese, Arabic, German, French, Gujarati, Tagalog, Hindi, Loatian, Russian, Portuguese, Turkish, Japanese.