Non-Discrimination Notice

4093 January 10, 2023

As a recipient of Federal financial assistance, Willamette Dental Group (WDG) does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, or national origin, religion, sex, sexual orientation, gender identity/expression, protected veteran’s status, genetic information, or on the basis of disability or age, participation in, or receipt of the services and benefits under any of WDG’s programs and activities, whether carried out by WDG directly or through a contractor or any other entity with which WDG arranges to carry out its programs and activities.

Willamette Dental Group:

  • Provides free aids and services to people with disabilities to communicate effectively withus, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats,other formats)
  • Provides free language services to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages

If you need these services, contact 1-855-433-6825.

If you believe that Willamette Dental Group has failed to provide these services or discriminated in another way on the basis of race, color, or national origin, religion, sex , sexual orientation, gender identity/expression, protected veteran’s status, genetic information, or on the basis of disability or age, you can file a grievance with:

Member Services Department,

6950 NE Campus Way

Hillsboro, Oregon 97124

1- 855-433-6825

Fax 503-952-2684

memberservices@willamettedental.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Member Services Department i s 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, D.C. 20201

1- 800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.