Notice of Non Discrimination.

Moorestown Smile Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Moorestown Smile Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Moorestown Smile Center:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
  
  • 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 Aliya Khan.

If you believe that Moorestown Smile Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Aliya Khan, DDS, 740 Marne Highway Suite 106, , Moorestown, NJ 08057, Phone: (856) 638-5266, (TTY (856) 638-5266), Fax: (856) 638-5355, Email: . You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Aliya Khan, DDS is available to help you.

Aliya Khan
Address: 740 Marne Highway Suite 106 Moorestown, NJ 08057
Phone: (856) 638-5266, (TTY (856) 638-5266),
Fax: (856) 638-5355,
Email: aliya.khan82@gmail.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Aliya Khan is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, 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.