Nondiscrimination Notice

Molly Oral & Facial Surgery complies with applicable federal and California civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including sex characteristics, sexual orientation, and gender identity). Molly does not exclude people or treat them differently because of these characteristics.

We provide, free of charge

• Aids and services for people with disabilities, such as qualified sign language interpreters and written information in other formats (large print, accessible electronic formats)
• Language services for people whose primary language is not English, such as qualified interpreters and information written in other languages

If you need these services, contact our Civil Rights Coordinator at (949) 555-0100 or civilrights@molly.surgery.

Filing a grievance

If you believe Molly has failed to provide these services or discriminated in another way, you can file a grievance with our Civil Rights Coordinator, 2 Park Plaza, Suite 600, Irvine, CA 92614. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, or with the California Civil Rights Department.

Language assistance

Español: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (949) 555-0100.

中文: 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 (949) 555-0100。

Tiếng Việt: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (949) 555-0100.

한국어: 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. (949) 555-0100 번으로 전화해 주십시오.

Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (949) 555-0100.

Հայերեն: ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք (949) 555-0100:

فارسی: توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با (949) 555-0100 تماس بگیرید.