HHS Notifications and Statements
English
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Español (Spanish)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

(Chinese)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Tiếng Việt (Vietnamese)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

(Korean)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Tagalog (Tagalog – Filipino)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Русский (Russian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

العربية(Arabic)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Kreyòl Ayisyen (French Creole)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Français (French)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Polski (Polish)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Português (Portuguese)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Italiano (Italian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Deutsch (German)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

(Japanese)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

فارسی (Farsi)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

हिंदी (Hindi)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Հայերեն (Armenian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

ગુજરાતી (Gujarati)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Hmoob (Hmong)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

اُردُو (Urdu)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

ខ្មែរ (Cambodian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

ਪੰਜਾਬੀ (Punjabi)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

বাংলা (Bengali)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

אידיש(Yiddish)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

አማርኛ (Amharic)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

ภาษาไทย (Thai)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Oroomiffa (Oromo)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Ilokano (Ilocano)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

ພາສາລາວ (Lao)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Shqip (Albanian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Srpsko-hrvatski (Serbo-Croatian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

укРаїнська (Ukrainian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

नेपाली (Nepali)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Nederlands (Dutch)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

unD (Karen)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Gagana fa'a Sāmoa (Samoan)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Kajin Ṃajōḷ (Marshallese)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Română (Romanian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Foosun Chuuk (Trukese)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Tonga (Tongan)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Bisaya (Bisayan) .
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Ikirundi (Bantu – Kirundi)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Kiswahili (Swahili)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Bahasa Indonesia (Indonesian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Türkçe (Turkish)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

کوردی (Kurdish)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

తెలుగు (Teluga)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Thuɔŋjaŋ (Nilotic – Dinka)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Norsk (Norwegian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Català (Catalan)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

λληνικά (Greek)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Igbo asusu (Ibo)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

èdè Yorùbá (Yoruba)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Lokaiahn Pohnpei (Pohnpeian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Deitsch (Pennsylvania Dutch)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

hoʻokomo ʻōlelo (Hawaiian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Adamawa (Fulfulde)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

tsalagi gawonihisdi (Cherokee)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

I linguahén Chamoru (Chamorro)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

ܣܘܼܪܸܬ݂ (Assyrian)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

(Burmese)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Diné Bizaad (Navajo)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

(Bassa)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

Chahta (Choctaw)
» Notice of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination
[Name of covered entity] |
Summit Dental - William Samson DDS |
[Mailing address] |
REPLACE: Civil Rights Coordinator Mailing Address |
[Telephone number] |
REPLACE: Civil Rights Coordinator PHONE |
[TTY number—if covered entity has one] |
REPLACE: Civil Rights Coordinator TTYPHONE |
[FAX] |
REPLACE: Civil Rights Coordinator FAX |
[Email] |
REPLACE: Civil Rights Coordinator EMAIL |
[Name of civil rights coordinator] |
REPLACE: Civil Rights Coordinator |
[Name and Title of Civil Rights Coordinator] |
REPLACE: Name And Title Of Civil Rights Coordinator |
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
http://www.hhs.gov/ocr/office/file/index.html

|